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 # | 1952026015 |
| LBN Legal business name | PULASKI MEMORIAL HOSPITAL |
| Authorized official | GREGG MALOTT - (CFO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 10/11/2022 |
| Last updated | 10/04/2024 - More than a year ago |
| Identifiers | n/a |
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