PASSPORT HEALTH HOLDINGS LLC (NPI# 1578992772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578992772 |
| Entity Type | Organization |
| Organization Name | PASSPORT HEALTH HOLDINGS LLC |
| Other Organization Name | PPH GLOBAL SERVICES LLC |
| Practice Address |
6700 France Ave S Ste 150 Edina MN 55435-1906 |
| 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 | 2013-11-07 |
| Last Update Date | 2016-07-13 |
| Authorized Official Name | MR. DOUG SHACKELL (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 4806469024 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | MN | Ambulatory Health Care Facilities | |
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PPH Global Services LLC | Other Name - Individual/Organization |
| 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 |
| Street Address |
6700 FRANCE AVE S STE 150 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235242355 | Kimberly A Lund | Physical Therapist | 6700 France Ave S, Suite 230, Edina, MN 55435-1902 | 2006-08-15 |
| 1104361724 | Rachel Ahn | Physical Therapist | 6700 France Ave S, #300, Edina, MN 55435-1902 | 2017-01-05 |
| 1417318957 | Amber E Dionne | Physician Assistant | 6700 France Ave S, Suite 300, Edina, MN 55435-1902 | 2016-03-11 |
| 1376918235 | Marisa Bushman | Audiologist | 6700 France Ave S, Suite 300, Edina, MN 55435-1902 | 2015-12-03 |
| 1093192213 | Angela Jane Everson | Physical Therapist | 6700 France Ave S, Suite 300, Edina, MN 55435-1902 | 2015-04-27 |
| 1396142568 | Kenzie Jackley | Physician Assistant | 6700 France Ave S, Suite 300, Edina, MN 55435-1902 | 2014-12-03 |
| 1942605639 | Lori Ann Kehoe | Physical Therapist | 6700 France Ave S, Suite 300, Edina, MN 55435-1902 | 2014-10-24 |
| 1871992313 | Jill Schoeppner | Physical Therapist | 6700 France Ave S, Suite 230, Edina, MN 55435-1902 | 2014-08-21 |
| 1184035792 | Community Health and Immunization Services, LLC | Community Health Worker | 6700 France Ave S, Suite 150b, Edina, MN 55435-1902 | 2014-05-16 |
| 1154756823 | Melissa Marie Wick | Physical Therapist | 6700 France Ave S, Suite #300, Edina, MN 55435-1902 | 2013-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336335066 | One Stop Medical Center | Clinic/Center | 6545 France Ave S Ste C21, Edina, MN 55435-2181 | 2007-09-17 |
| 1295948842 | Laser Vision Center of Edina, LLC | Clinic/Center | 3601 W 76th St, Ste. 150, Edina, MN 55435-5242 | 2007-05-08 |
| 1932251402 | Pharmaceutical Care Associates, Inc. | Clinic/Center | 5702 Newport Dr, Suite 200, Edina, MN 55436-1726 | 2007-01-17 |
| 1558459206 | Metropolitan Pediatric Specialists, P.a. | Clinic/Center | 6545 France Ave S Ste 400, Edina, MN 55435-2115 | 2006-10-10 |
| 1396725602 | Comprehensive Ophthalmology, LLC | Clinic/Center | 3209 West 76th St, #303, Edina, MN 55435 | 2006-01-20 |
| 1639799323 | Northern Cardiovascular Clinic, Pa | Clinic/Center | 6565 France Ave S Ste 101, Edina, MN 55435-2154 | 2020-04-22 |
| 1043879901 | Rocket Surgery, LLC | Clinic/Center | 6565 France Ave S Ste 350, Edina, MN 55435-2159 | 2019-06-12 |
| 1609389675 | Doctor's House | Clinic/Center | 6565 France Ave S Ste 350, Edina, MN 55435-2137 | 2017-11-13 |
| 1699014167 | Allina Health System | Clinic/Center | 7373 France Ave S Ste 202, Edina, MN 55435-4551 | 2013-02-04 |
| 1720339716 | Allina Health System | Clinic/Center | 5301 Vernon Ave S, Edina, MN 55436-2303 | 2012-10-01 |
| Find all providers in EDINA | ||||
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| 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.