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NPI 1982403002

OrganizationActive

Passport Health Holdings, LLC

NPI 1982403002 · Community Health Worker · Ashburn, VA

Provider details

NPI number: 1982403002
Entity type: Organization
Primary specialty: Community Health WorkerOther Service Providers
Authorized official: Juana Slack, Medical Billing Specialist

Practice location

42882 Truro Parish Dr

Suite 206

Ashburn, VA 20148

Phone: (877) 358-8648

Fax: (877) 877-6875

More VA providers

Mailing address

4343 East Outlier Blvd.

Phoenix, AZ 85008-6507

Registry dates

Enumerated: 2025-03-11
Last updated: 2025-03-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Passport Health Holdings, LLC — NPI 1982403002, Ashburn, VA | NPI Central