| NPI | 1477993939 |
|---|---|
| Doing Business As | PASSPORT HEALTH OF EVANSVILLE |
| Entity Type | Organization |
| Authorized Contact | SCOTT R BURGESS Owner 812-402-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-29 |