Organization
PULASKI MEMORIAL HOSPITAL
Active
Other names
Hickory Creek at Winamac
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG A MALOTT (CHIEF FINANCIAL OFFICER)
(574) 946-2103
Entity
Organization
Contact information
Practice address
515 E 13TH ST, WINAMAC, IN 46996-1144
(574) 946-6143
(574) 946-6186
Mailing address
515 E 13TH ST, WINAMAC, IN 46996-1144
(574) 946-6143
(574) 946-6186
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
05-000414-2
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100288550
—
IN
Enumeration date
07/02/2006
Last updated
08/04/2023
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