NPI 1003615097
Passport Health Holdings, LLC
Practice location
- Address
- 1804 West Plaza Drive, Winchester, VA 22601
- Phone
- (877) 358-8648
- Fax
- (877) 877-6875
- Mailing address
- 4343 East Outlier Blvd. Suite 100w, Phoenix, AZ 85008-6507
Authorised official
- Name
- Juana Slack
- Title
- Medical Billing Specialist
- Phone
- (480) 646-9086
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1003615097
- Entity type
- Organization
- NPI issued
- 11 Mar 2025
- Record last updated
- 11 Mar 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.