| NPI | 1801101258 |
|---|---|
| Doing Business As | PASSPORT HOSPITAL - SPACE HOSPITALS |
| Entity Type | Organization |
| Authorized Contact | SUE ELLEN PUJARI President 270-621-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |