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Organization
PULASKI MEMORIAL HOSPITAL
Active
Organization
PULASKI MEMORIAL HOSPITAL
Active
Other names
Majestic Care of Bloomington
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG A MALOTT (CHIEF FINANCIAL OFFICER)
(574) 946-2103
Entity
Organization
Contact information
Practice address
1100 S CURRY PIKE., BLOOMINGTON, IN 47403
(812) 339-1657
(812) 335-6804
Mailing address
1100 S CURRY PIKE., BLOOMINGTON, IN 47403
(812) 339-1657
(812) 335-6804
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
—
—
311Z00000X
Custodial Care Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000098144
ANTHEM BLUE CROSS
IN
05
—
100275040
—
IN
05
—
100275040B
—
IN
Enumeration date
07/30/2006
Last updated
05/11/2026
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