| NPI | 1053518787 |
|---|---|
| Doing Business As | PASSPORT HEALTH OF MOLINE |
| Entity Type | Organization |
| Authorized Contact | TRACEY I MCLOONE Medical Director 309-757-1252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: IL 36096406) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |