NPI

Passport Health Holdings, LLC

Doing business as Passport Health. Phone (877) 358-8648 · Fax (877) 877-6875 · NPI 1093369597

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2019-08-01
Last updated
2019-08-01

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
901 E Saint Louis Street, Suite 107
City
Springfield MO
Postal code
65806-2574
Phone
(877) 358-8648
Fax
(877) 877-6875

Organization contact

Name
Doug Shackell
Title
Director of Finance
Phone
(480) 646-9024

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Community Health Workers in Springfield, MO. 10 with this primary taxonomy in the public file.

Other NPIs in Springfield, MO. 7,847 records in the public file.

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