PASSPORT HEALTH HOLDINGS, LLC
NPI 1306544432
Community Health Worker in Edmond, OK

Active since February 17, 2023
14033 N EASTERN AVE, SUITE B, EDMOND, OK 73013(844) 358-8648(877) 877-6875 Get Directions Write a Review

NPPES record last updated: February 17, 2023. 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 1306544432) is a healthcare organization registered as a community health worker in Edmond, Oklahoma and active in the NPI registry since February 2023. The organization lists Paul Fishburn, Medical Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1306544432
Entity TypeOrganization
Primary Taxonomy172V00000X
Legal Business NamePASSPORT HEALTH HOLDINGS, LLC
Location Address14033 N EASTERN AVE, SUITE BEdmond, OK 73013
Mailing Address4343 East Outlier Blv., Suite 100wPhoenix, AZ 85008-6507 · (844) 358-8648 · Fax (877) 877-6875
Fax(877) 877-6875
Organization SubpartNo
Authorized OfficialPaul FishburnMedical Billing Specialist · (480) 646-9020
Enumeration DateFebruary 17, 2023
NPPES CertifiedFebruary 17, 2023
NPI 1306544432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

14033 N EASTERN AVE, Edmond, OK 73013

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2039363

Passport Health Heartland Travel Health Services, LLC · Edmond, OK
Expired · Apr 5, 2026
CLIA Number37D2039363
Laboratory TypeImmunization Clinic
Certificate Effective DateApril 6, 2024
Certificate Expiration DateApril 5, 2026
Laboratory DirectorBret R. Haymore
Laboratory Phone(405) 628-4074
Laboratory LocationPassport Health Heartland Travel Health Services, LLC14033 N Eastern Ave, Edmond, OK 73013
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
14033 N EASTERN AVE
EDMOND, OK 73013
Chiropractor
14033 N EASTERN AVE
EDMOND, OK 73013

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306544432, enumerated as an "organization" on February 17, 2023.

The provider is located at 14033 N EASTERN AVE SUITE B EDMOND, OK 73013 and the phone number is (844) 358-8648.

Community Health Worker with taxonomy code 172V00000X.