Organization
PULASKI MEMORIAL HOSPITAL
Active
Parent organization
PULASKI MEMORIAL HOSPITAL
Other names
Pulaski Memorial Hospital North Judson Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
PULASKI MEMORIAL HOSPITAL
Authorized official
GREGG MALOTT (CFO)
(574) 946-2103
Entity
Organization
Contact information
Practice address
414 LANE ST, NORTH JUDSON, IN 46366-1226
(574) 896-4325
Mailing address
PO BOX 279, WINAMAC, IN 46996-0279
(574) 946-2100
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300014361
—
IN
Enumeration date
08/21/2018
Last updated
10/11/2022
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