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PASSPORT HEALTH HOLDINGS LLC
NPI 1043640048
Clinic/Center in Myrtle Beach, SC

Active since November 13, 2013
3691 PALMETTO POINT BOULEVARD, SUITE 301, MYRTLE BEACH, SC 29588(877) 358-8648(877) 877-6875 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Passport Health Holdings Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PASSPORT HEALTH HOLDINGS LLC (NPI 1043640048), doing business as Pph Ohio Llc, is a healthcare organization registered as a clinic/center in Myrtle Beach, South Carolina and active in the NPI registry since November 2013. The organization lists Paul Fishburn, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1043640048
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePASSPORT HEALTH HOLDINGS LLC
Location Address3691 PALMETTO POINT BOULEVARD, SUITE 301Myrtle Beach, SC 29588-1202
Mailing Address668 N 44th St, Suite 100wPhoenix, AZ 85008-6507 · (877) 358-8648 · Fax (877) 877-6875
Phone(877) 358-8648
Fax(877) 877-6875
Organization SubpartNo
Authorized OfficialPaul FishburnChief Operating Officer · (480) 646-9020
Enumeration DateNovember 13, 2013
Last NPPES UpdateApril 1, 2022
NPPES CertifiedApril 1, 2022
✔ NPI 1043640048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

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).

Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X
3691 PALMETTO POINT BOULEVARD, Myrtle Beach, SC 29588
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Other Names 1

Former Legal Business NamePph Ohio Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Passport Health Holdings LLC's NPI number?

The NPI number for Passport Health Holdings LLC is 1043640048. It was assigned to this organization in the NPPES registry on November 13, 2013. The provider was formerly known as Pph Ohio LLC.

Where is Passport Health Holdings LLC located?

Passport Health Holdings LLC is located at 3691 Palmetto Point Boulevard Suite 301, Myrtle Beach, SC 29588. The listed phone number is (877) 358-8648.

What is Passport Health Holdings LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Passport Health Holdings LLC was last updated on April 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.