Passport Health Holdings Llc, NPI 1366871550
Clinic/Center in West Des Moines, IA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1366871550 |
| NPI Entity Type | Organization |
| Provider Name |
Passport Health Holdings Llc
Other Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 950 Office Park Rd, Ste 200b, West Des Moines, IA, US |
| Provider Mailing Address | 8324 E Hartford Dr, Ste 200, Scottsdale, AZ, US, 852555466 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Doug Shackell |
| Official Position | DIRECTOR OF FINANCE |
| Phone | 480-646-9024 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Clinic/Center |
| Classification | |
| Group | |
| License State | IA |
| Description | 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). |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
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DR. M.D. Jorge H Perez-cardona Individual |
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