Organization
PULASKI MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG MALOTT (DIRECTOR OF BUSINESS DEVELOPMENT)
(574) 946-2100
Entity
Organization
Contact information
Practice address
540 HOSPITAL DR, WINAMAC, IN 46996-1173
(574) 946-2194
(574) 946-2196
Mailing address
PO BOX 279, WINAMAC, IN 46996-0279
(574) 946-2100
(574) 946-2107
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270360A
—
IN
05
—
201272330A
—
IN
Enumeration date
04/11/2007
Last updated
07/21/2022
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