Organization Name: | PULASKI MEMORIAL HOSPITAL |
NPI Number: | 1891793576 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICKI A WHITE (DIRECTOR) |
Mailing Address: | 616 E. 13th Street Winamac |
State: | IN US |
Postal Code: | 469961117 |
Phone Number: | 5749462140 |
Fax Number: | 5749462128 |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 10/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 009450 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |