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Passport Health Holdings LLC

Clinic/Center in West Columbia, SC · enumerated 2013 · authorized official Doug Shackell, Director of Finance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609206564

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Registry record

Entity type Organization (Type 2)
Legal business name Passport Health Holdings LLC
Other name <Unavail>
Practice address 2318-B Sunset Blvd, West Columbia, SC, 29169
Phone (877) 358-8648
Fax (877) 877-6875
Enumeration date Nov 13, 2013
Last updated in NPPES Jul 12, 2016

Taxonomy & classification

2083P0901X Public Health & General Preventive Medicine Physician Allopathic & Osteopathic Physicians Secondary
261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

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

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Passport Health Holdings LLC?
The NPI for Passport Health Holdings LLC is 1609206564, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Passport Health Holdings LLC?
NPPES lists Doug Shackell (Director of Finance) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-07-12.