PULASKI MEMORIAL HOSPITAL; NPI #1831679620

Contact Information

PULASKI MEMORIAL HOSPITAL

414 LANE ST
NORTH JUDSON, IN 46366-1226

Phone: 574-896-4325
Fax:
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

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NPI Profile & details for PULASKI MEMORIAL HOSPITAL

NPI # 1831679620

LBN Legal business name PULASKI MEMORIAL HOSPITAL

Authorized official GREGG MALOTT - (CFO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 08/21/2018

Last updated 10/11/2022 - About 4 years ago

Identifiers

Medicaid

300014361

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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