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Organization
PULASKI MEMORIAL HOSPITAL
Active
Organization
PULASKI MEMORIAL HOSPITAL
Active
Other names
PULASKI MEMORIAL HOSPITAL FIRST STEPS
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG MALOTT (VP OF BUSINESS DEVELOPMENT)
(574) 946-2103
Entity
Organization
Contact information
Practice address
616 E 13TH ST, WINAMAC, IN 46996-1117
(574) 946-2100
(574) 946-2129
Mailing address
616 E 13TH ST, PO BOX 279, WINAMAC, IN 46996-1117
(574) 946-2100
(574) 946-2129
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22000181
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200714230A
—
IN
Enumeration date
07/26/2007
Last updated
03/13/2020
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