| Organization Name: | PULASKI MEMORIAL HOSPITAL |
| NPI Number: | 1740403419 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGG MALOTT (CFO) |
| Mailing Address: | 540 Hospital Dr Winamac |
| State: | IN US |
| Postal Code: | 469961173 |
| Phone Number: | 5749462194 |
| Fax Number: | 5749462196 |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 02/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |