# PULASKI MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972890838
- **Authorized official:** MELISSA ANNE BRAUN (OWNER/OPERATIONAL MANAGER)
- **Authorized official phone:** (812) 774-2800

## Contact information

- **Practice address:** 909 1ST AVE, EVANSVILLE, IN 47710-1939
- **Practice address phone:** (812) 423-6214
- **Practice address fax:** (812) 424-9793
- **Mailing address:** 909 1ST AVE, EVANSVILLE, IN 47710-1939
- **Mailing address phone:** (812) 423-6214
- **Mailing address fax:** (812) 424-9793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2011
- **Last updated:** 12/05/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100273770 | — | IN |