National Provider Identifier Database

PULASKI MEMORIAL HOSPITAL
Rural Health


Contact Information

PULASKI MEMORIAL HOSPITAL
540 HOSPITAL DR
WINAMAC, IN46996-1173
Phone: 574-946-2194
Fax: 574-946-2196
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for PULASKI MEMORIAL HOSPITAL

NPI Number 1740403419
Legal business name
LBN
PULASKI MEMORIAL HOSPITAL
Authorized official GREGG MALOTT - (DIRECTOR OF BUSINESS DEVELOPMENT)
Entity Organization
Organization subpart No
Enumeration date 04/11/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • IN Medicaid: 100270360A
  • IN Medicaid: 201272330A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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