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Contact Information

PULASKI MEMORIAL HOSPITAL
1010 W WASHINGTON CENTER RD.
FORT WAYNE, IN46825
 Phone: 260-489-2552
 Fax: 419-247-2872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for PULASKI MEMORIAL HOSPITAL

NPI Number 1932196177
LBN Legal business name PULASKI MEMORIAL HOSPITAL
Authorized official GREGG MALOTT - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2005
Last updated 04/15/2026 - About 2 months ago
Identifiers
IN License # 05-000522-1
IN Medicaid 100267040
IN Medicaid 100267040A
IN Other 000000204329 ANTHEM
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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