Passport Health

LBN: Passport Health Holdings, Llc
Passport Health is an health care organization with primary practice located at 910 Main St Suite 352, Boise ID 83702-5720. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Passport Health Holdings, Llc can be contacted via phone (877) 358-8648, or through Fishburn, Paul via phone (480) 646-9020.

Contact Information

Primary practice address
910 Main St Suite 352 Boise ID 83702-5720
Phone: (877) 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
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1215366406
LBN Legal business name Passport Health Holdings, Llc
DBA Doing business as Passport Health
Authorized official Fishburn, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2013
Last updated Apr 1st, 2022 - about 3 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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