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PASSPORT HEALTH HOLDINGS LLC
NPI 1609206564
Clinic/Center in West Columbia, SC

Active since November 13, 2013
2318-B SUNSET BLVD, WEST COLUMBIA, SC 29169(877) 358-8648(877) 877-6875 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: August 16, 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 1609206564), doing business as Pph Ohio Llc, is a healthcare organization registered as a clinic/center in West Columbia, South Carolina and active in the NPI registry since November 2013. The organization lists Doug Shackell, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1609206564
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePASSPORT HEALTH HOLDINGS LLC
Location Address2318-B SUNSET BLVDWest Columbia, SC 29169-4716
Mailing Address8324 E Hartford Dr, Suite 200Scottsdale, AZ 85255-5466 · (877) 358-8648 · Fax (877) 877-6875
Phone(877) 358-8648
Fax(877) 877-6875
Organization SubpartNo
Authorized OfficialDoug ShackellDirector Of Finance · (480) 646-9024
Enumeration DateNovember 13, 2013
Last NPPES UpdateJuly 12, 2016
✔ NPI 1609206564 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
2318-B SUNSET BLVD, West Columbia, SC 29169
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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 1609206564. 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 2318-B Sunset Blvd, West Columbia, SC 29169. 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 July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.