South Shore Health & Rehabilitation Center
LBN: Pulaski Memorial Hospital
South Shore Health & Rehabilitation Center is an health care organization with primary practice located at 353 Tyler Street , Gary IN 46402-1149. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Pulaski Memorial Hospital can be contacted via phone (219) 886-7070, or through Malott, Gregg A via phone (574) 946-2103.
Contact Information
Primary practice address
353 Tyler Street
Gary IN 46402-1149
Phone: (219) 886-7070
Fax: (219) 886-0810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 14-000369-1 | Indiana |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X |
Profile Details
| NPI number | 1346292737 |
|---|---|
| LBN Legal business name | Pulaski Memorial Hospital |
| DBA Doing business as | South Shore Health & Rehabilitation Center |
| Authorized official | Malott, Gregg A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jun 13th, 2024 - about 6 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346292737 | NPPES |
| Indiana | MEDICAID | 100275190B | |
| Indiana | MEDICAID | 100275190 |
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