Organization
PASSPORT HEALTH HOLDINGS, LLC
Active
Organization
PASSPORT HEALTH HOLDINGS, LLC
Active
Other names
Passport Health
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA SLACK (MEDICAL BILLING SPECIALIST)
(480) 646-9086
Entity
Organization
Contact information
Practice address
1004 W 8TH AVE, SUITE G, KING OF PRUSSIA, PA 19406
(844) 358-8648
(877) 877-6875
Mailing address
4343 EAST OUTLIER BLVD., SUITE 100W, PHOENIX, AZ 85008-6507
(844) 358-8648
(877) 877-6875
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
Other
Enumeration date
02/21/2023
Last updated
09/04/2026
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