Passport Health

LBN: Molled Travel Vaccines, Pllc
Passport Health is an health care organization with primary practice located at 11811 N. Tatum Blvd #P132, Phoenix AZ 85028-1614. The organization recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as the primary health care specialty. Molled Travel Vaccines, Pllc can be contacted via phone (877) 358-8648, or through Fishburn, Paul via phone (480) 646-9020.

Contact Information

Primary practice address
11811 N. Tatum Blvd #P132 Phoenix AZ 85028-1614
Phone: (877) 358-8648
Fax: (877) 877-6875
Website:
Map and Directions
Authorized official contact:
Name: Fishburn, Paul
Phone: (480) 646-9020

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1841701331
LBN Legal business name Molled Travel Vaccines, Pllc
DBA Doing business as Passport Health
Authorized official Fishburn, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2017
Last updated Aug 2nd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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