Organization
PULASKI MEMORIAL HOSPITAL
Active
Parent organization
PULASKI MEMORIAL HOSPITAL
Other names
Pulaski Memorial Home Health Care and Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
PULASKI MEMORIAL HOSPITAL
Authorized official
MRS. VICKI A WHITE RN (DIRECTOR)
(574) 946-2146
Entity
Organization
Contact information
Practice address
616 E. 13TH STREET, WINAMAC, IN 46996-1117
(574) 946-2140
(574) 946-2128
Mailing address
616 E. 13TH STREET, PO BOX 279, WINAMAC, IN 46996-1117
(574) 946-2140
(574) 946-2128
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
009450
IN
282NC0060X
Critical Access Hospital
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009450
STATE LICENSE
IN
05
—
200141720A
—
IN
Enumeration date
07/07/2005
Last updated
09/07/2022
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