Pulaski Memorial Hospital North Judson Family Medicine

LBN: Pulaski Memorial Hospital
Pulaski Memorial Hospital North Judson Family Medicine is an health care organization with primary practice located at 414 Lane St , North Judson IN 46366-1226. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Pulaski Memorial Hospital can be contacted via phone (574) 896-4325, or through Malott, Gregg via phone (574) 946-2103.

Contact Information

Primary practice address
414 Lane St North Judson IN 46366-1226
Phone: (574) 896-4325
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Malott, Gregg
Phone: (574) 946-2103

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1831679620
LBN Legal business name Pulaski Memorial Hospital
DBA Doing business as Pulaski Memorial Hospital North Judson Family Medicine
Authorized official Malott, Gregg
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 21st, 2018
Last updated Oct 11th, 2022 - about 3 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831679620 NPPES
Indiana MEDICAID 300014361

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