# PULASKI MEMORIAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PULASKI MEMORIAL HOSPITAL
- **Other names:** Pulaski Memorial Hospital North Judson Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831679620
- **Legal business name:** PULASKI MEMORIAL HOSPITAL
- **Authorized official:** GREGG MALOTT (CFO)
- **Authorized official phone:** (574) 946-2103

## Contact information

- **Practice address:** 414 LANE ST, NORTH JUDSON, IN 46366-1226
- **Practice address phone:** (574) 896-4325
- **Mailing address:** PO BOX 279, WINAMAC, IN 46996-0279
- **Mailing address phone:** (574) 946-2100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/21/2018
- **Last updated:** 10/11/2022