Passport Health Holdings, Llc

LBN: Passport Health Holdings, Llc
Passport Health Holdings, Llc is an health care organization with primary practice located at 576 Colonial Park Dr Suite 100, Roswell GA 30075. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Other Service Providers / Community Health Worker is the primary health care specialty. Passport Health Holdings, Llc can be contacted via phone (844) 358-8648, or through Fishburn, Paul via phone (480) 646-9020.

Contact Information

Primary practice address
576 Colonial Park Dr Suite 100 Roswell GA 30075
Phone: (844) 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
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X

Profile Details

NPI number 1003261629
LBN Legal business name Passport Health Holdings, Llc
DBA Doing business as
Authorized official Fishburn, Paul
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2016
Last updated Feb 20th, 2023 - about 2 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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