# PULASKI MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Majestic Care of McCordsville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982710943
- **Authorized official:** GREGG A MALOTT (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (574) 946-2103

## Contact information

- **Practice address:** 7476 W LANE RD., MCCORDSVILLE, IN 46055-9506
- **Practice address phone:** (317) 335-2159
- **Practice address fax:** (317) 335-3325
- **Mailing address:** 7476 W LANE RD., MCCORDSVILLE, IN 46055-9506
- **Mailing address phone:** (317) 335-2159
- **Mailing address fax:** (317) 335-3325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 060004771 | IN | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 05/11/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000112922 | ANTHEM BCBS | IN |
| 01 | — | 0783610001 | DMEAC | IN |
| 05 | — | 100290860 | — | IN |
| 05 | — | 100290860A | — | IN |