PASSPORT HEALTH HOLDINGS LLC


Address: 4274 Cahaba Heights Ct, Ste 230, Vestavia, AL 35243-5727
Phone: 8773588648

PASSPORT HEALTH HOLDINGS LLC (NPI# 1447676564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447676564
Entity Type Organization
Organization Name PASSPORT HEALTH HOLDINGS LLC
Other Organization Name PPH GLOBAL SERVICES LLC
Practice Address 4274 Cahaba Heights Ct
Ste 230
Vestavia
AL 35243-5727
Mailing Address 8324 E Hartford Dr
Ste 200
Scottsdale
AZ 85255-5466
Practice Telephone 8773588648
Practice Fax Number 8778776875
Mailing Telephone 8773588648
Mailing Fax Number 8778776875
Enumeration Date 2014-03-13
Last Update Date 2016-07-12
Authorized Official Name MR. DOUG SHACKELL (DIRECTOR OF FINANCE)
Authorized Official Telephone 4806469024
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
Allopathic & Osteopathic Physicians
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
PPH Global Services LLC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1376033233 Passport Health Holdings LLC Preventive Medicine 4647 N 32nd Street, Suite 115 1st Floor, Phoenix, AZ 85018-3346 2018-05-16
1275988891 Passport Health Holdings LLC Preventive Medicine 315 W Ponce De Leon Ave Ste 585, Decatur, GA 30030-2400 2016-05-02
1336579226 Passport Health Holdings LLC Clinic/Center 1402 Shepard Dr, Ste 101, Sterling, VA 20164-4425 2013-11-14
1598195489 Passport Health Holdings LLC Clinic/Center 5890 Sawmill Rd, Suite 100, Dublin, OH 43017-1591 2013-11-14
1669802559 Passport Health Holdings LLC Preventive Medicine 260 W Coleman Blvd, Ste B, Mt Pleasant, SC 29464-3666 2013-11-14
1518397405 Passport Health Holdings LLC Preventive Medicine 400 N Center Drive, Suite 108, Norfolk, VA 23502-0002 2013-11-14
1245660133 Passport Health Holdings LLC Clinic/Center 512 Westwood Office Park, Fredricksburg, VA 22401-5112 2013-11-14
1609206564 Passport Health Holdings LLC Preventive Medicine 2318-b Sunset Blvd, West Columbia, SC 29169-4716 2013-11-13
1043640048 Passport Health Holdings LLC Preventive Medicine 3691 Palmetto Point Blvd, Ste 301, Myrtle Beach, SC 29588-1202 2013-11-13
1003245291 Passport Health Holdings LLC Preventive Medicine 6355 Nw 36th St Ste 600, Virginia Gardens, FL 33166-7027 2013-11-07

Office Location

Street Address 4274 CAHABA HEIGHTS CT
STE 230
City VESTAVIA
State AL
Zip Code 35243-5727

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245643402 Community Health and Immunization Services Community Health Worker 4274 Cahaba Heights Ct, Suite 215 E, Vestavia, AL 35243-5712 2014-06-05
1124373279 Lucile Vandervoort Morris Family Medicine 4274 Cahaba Heights Ct, Suite 130, Vestavia, AL 35243-5712 2012-07-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588205223 See Inc Optometrist 200 Summit Blvd, Suite 168, Birmingham, AL 35243 2019-10-03
1619526829 Kourtni Brooke Young Nurse Anesthetist, Certified Registered Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 2019-09-10
1548747942 Kaitlyn Bennett Occupational Therapist 3140 Cahaba Heights Road, Suite 102, Vestavia, AL 35243 2018-07-27
1013407675 Alabama Radiation Therapy Services Radiology 3670 Grandview Pkwy #100, Birmingham, AL 35243 2018-05-18
1184169559 Olivia Diann Gaston Behavioral Analyst 3296 Cahaba Heights Rd., Milestones Behavior Group., Vestavia, AL 35243 2016-12-21
1679027841 Aspire Physical Recovery Center At Cahaba River, LLC Skilled Nursing Facility 3070 Healthy Way, Vestavia, AL 35243 2016-08-05
1306203682 Abbey Elizabeth Duke Physician Assistant 3690 Grandview Parkway, Birmingham, AL 35243 2016-01-18
1689078628 Mary Camp Occupational Therapist 3140 Cahaba Heights Road Suite 102, Vestavia Hills, AL 35243 2014-10-20
1255757209 Laura Romundstad Nurse Practitioner 3670 Grandview Parkway, Suite 100, Birmingham, AL 35243 2014-03-14
1841631199 Seth Alexander Martin Developmental Therapist 3981 Kyle Lane, Milestones Behavior Consulting, Vestavia, AL 35243 2013-07-16
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528670080 Altadena Eye Care Clinic/Center 2409 Acton Rd Ste 161, Vestavia, AL 35243-2939 2020-08-17
1558992396 Nutrifocus Clinic/Center 4126 Autumn Ln, Vestavia, AL 35243-5209 2020-01-30
1528489259 Summit Express Urgent Care, LLC Clinic/Center 1360 Montgomery Hwy, Suite 124, Vestavia, AL 35216-2749 2013-12-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447877584 Northern Lights Chiropractic L.L.C. Clinic/Center 2709 19th Pl S, Homewood, AL 35209-1919 2020-07-05
1033736749 Psychotherapy/ Clinical Services LLC Clinic/Center 2622 Jordan Ln Nw, Huntsville, AL 35816-1014 2020-06-29
1598384265 Ivy Leaf Health & Wellness LLC Clinic/Center 5585 Park Side Cir, Hoover, AL 35244-5124 2020-04-13
1083240618 Patricia Kyl Padgett Clinic/Center 3206 20th Ave, Valley, AL 36854-2951 2020-03-16
1659905610 Valley Vascular Access Center, LLC Clinic/Center 4700 Whitesburg Dr Sw Ste 300, Huntsville, AL 35802-1685 2020-02-28
1508407990 Harrison Medical Consulting LLC Clinic/Center 146 Augusta Trl, Cullman, AL 35057-6990 2019-10-07
1174188650 Clears Clinic Corporation Clinic/Center 28720 Us Highway 98 Ste 1, Daphne, AL 36526-7268 2019-05-09
1255892865 Diabetes and Wellness Clinic of The Shoals Clinic/Center 1110 E 6th St Suite E, Muscle Shoals, AL 35661 2019-03-27
1558826818 Healthcare and Beyond, LLC Clinic/Center 13951 Highway 231 431 N, Hazel Green, AL 35750-8651 2019-01-31
1073086922 Ft Payne Careplus, LLC Clinic/Center 3000 Gault Ave North, Ft Payne, AL 35967 2019-01-03
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Competitor

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City VESTAVIA
Zip Code 35243

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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