Passport Health

LBN: Passport Health
Passport Health is an health care organization with primary practice located at 2025 S Brentwood Blvd Suite 101, Saint Louis MO 63144-1833. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Passport Health can be contacted via phone (314) 997-8100, or through Garrison, Ltanya via phone (314) 997-8100.

Contact Information

Primary practice address
2025 S Brentwood Blvd Suite 101 Saint Louis MO 63144-1833
Phone: (314) 997-8100
Fax: (314) 997-8102
Website:
Map and Directions
Authorized official contact:
Name: Garrison, Ltanya
Phone: (314) 997-8100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1205255247
LBN Legal business name Passport Health
DBA Doing business as
Authorized official Garrison, Ltanya
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2014
Last updated Oct 2nd, 2014 - about 11 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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