OrganizationActive
Passport Health Holdings, LLC
NPI 1619518586 · Public Health & General Preventive Medicine Physician · Bettendorf, IA
Provider details
- NPI number
- 1619518586
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Fishburn, Chief Operating Officer(480) 646-9020
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2435 Kimberly Rd
Suite 140 South
Bettendorf, IA 52722-3509
Phone: (877) 358-8648
Fax: (877) 877-6875
Approximate (ZIP-level) locationGet directions
Mailing address
668 N 44th St
Phoenix, AZ 85008-6507
Other names (DBA / former)
- Doing business as
- Passport Heath
- Doing business as
- Passport Heath
Registry dates
- Enumerated
- 2019-10-02
- Last updated
- 2022-04-01
- Certified
- 2022-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.