Passport Health Holdings, LLC

NPI #1972933786 in Fairlawn, Ohio

Provider Information

NPI Number: 1972933786
Entity Type: Organization
Organization Name: Passport Health Holdings, LLC
Primary Specialty: Community Health Worker
Enumeration Date: Nov 14, 2013
Last Updated: Apr 30, 2025

Practice Location

Address: 66 S MILLER RD
Address 2: STE 103
City: Fairlawn
State: Ohio
ZIP Code: 44333
Phone: (877) 358-8648

Authorized Official

Name: JUANA SLACK
Title: MEDICAL BILLING SPECIALIST
Phone: (480) 646-9086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Preventive Medicine - Public Health & General Preventive Medicine — Public Health & General Preventive Medicine	2083P0901X
Community Health Worker	172V00000X	Primary

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