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Contact Information

PULASKI MEMORIAL HOSPITAL
540 HOSPITAL DR
WINAMAC, IN46996-1173
 Phone: 574-946-2194
 Fax: 574-946-2196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for PULASKI MEMORIAL HOSPITAL

NPI # 1740403419
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
IN Medicaid 100270360A
IN Medicaid 201272330A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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