PULASKI MEMORIAL HOSPITAL NPI 1740403419

NPI Information

NPI: 1740403419
Provider Name: PULASKI MEMORIAL HOSPITAL
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
540 HOSPITAL DR
WINAMAC, IN
ZIP 46996
Phone: (574) 946-2194
Get Directions

PULASKI MEMORIAL HOSPITAL is a rural health clinic center in Winamac, IN. PULASKI MEMORIAL HOSPITAL NPI is 1740403419. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

540 HOSPITAL DR
WINAMAC, IN
ZIP 46996-173
Phone: (574) 946-2194
Fax: (574) 946-2196

The provider's authorized official is Gregg Malott .
The authorized official title is Director Of Business Development and has the following contact phone number (574) 946-2100.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				No
2	261QR1300X	Clinic/Center	Rural Health		INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201272330A	MEDICAID	INDIANA
2	100270360A	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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