Organization
PASSPORT HEALTH
Active
Other names
PPH Franchis Holdings LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI SOWARDS FALLAS (CLINICAL SUPERVISOR)
(480) 646-9029
Entity
Organization
Contact information
Practice address
8249 W 95TH ST., OVERLAND PARK, KS 66212
(888) 909-6551
(480) 383-6567
Mailing address
8324 E. HARTFORD DR. #200, SCOTTSDALE, AZ 85255
(480) 646-9029
(480) 383-6567
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
KS
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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