Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] |
| NPI # | 1740403419 |
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| LBN Legal business name | PULASKI MEMORIAL HOSPITAL | ||||||||
| Authorized official | GREGG MALOTT - (DIRECTOR OF BUSINESS DEVELOPMENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 04/11/2007 | ||||||||
| Last updated | 07/21/2022 - About 4 years ago | ||||||||
| Identifiers |
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