# TRI STATE TRAVEL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Passport Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750697629
- **Authorized official:** DR. ALETHA W TIPPETT M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (513) 891-3093

## Contact information

- **Practice address:** 10274 ALLIANCE RD, CINCINNATI, OH 45242-4710
- **Practice address phone:** (513) 891-3093
- **Practice address fax:** (513) 891-9947
- **Mailing address:** 10274 ALLIANCE RD, CINCINNATI, OH 45242-4710
- **Mailing address phone:** (513) 891-3093
- **Mailing address fax:** (513) 891-9947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | OH35074933 | OH | Yes |

## Other

- **Enumeration date:** 08/29/2010
- **Last updated:** 07/31/2020