NPI 1114728193

Passport Health Holdings, LLC

Organisation Community Health Worker Charlottesville, VA

Practice location

Address: 3315 Berkmar Dr Suite 2-D, Charlottesville, VA 22901
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

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Virginia →

Registry record

NPI: 1114728193
Entity type: Organization
NPI issued: 24 Mar 2025
Record last updated: 24 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.