PULASKI MEMORIAL HOSPITAL (NPI# 1447467196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447467196 |
| Entity Type | Organization |
| Organization Name | PULASKI MEMORIAL HOSPITAL |
| Practice Address |
616 E 13th St Winamac IN 46996-1117 |
| Mailing Address |
Po Box 279 616 E 13th Street Winamac IN 46996-0279 |
| Practice Telephone | 5749462100 |
| Practice Fax Number | 5749462129 |
| Mailing Telephone | 5749462100 |
| Mailing Fax Number | 5749462129 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | GREGG A MALOTT (CF0) |
| Authorized Official Telephone | 5749462100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000097769 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336548353 | Pulaski Memorial Hospital | Skilled Nursing Facility | 6050 S Cr 800 E-92, Fort Wayne, IN 46814-9201 | 2014-08-14 |
| 1801205240 | Pulaski Memorial Hospital | Assisted Living Facility | 5250 Heritage Pkwy, Fort Wayne, IN 46835-1061 | 2014-08-11 |
| 1881816148 | Pulaski Memorial Hospital | Nursing Facility/Intermediate Care Facility | 505 North Gavin Street, Muncie, IN 47303 | 2007-05-03 |
| 1346263217 | Pulaski Memorial Hospital | Nursing Facility/Intermediate Care Facility | 700 E 21st Ave, Gary, IN 46407 | 2006-07-25 |
| 1710930524 | Pulaski Memorial Hospital | Skilled Nursing Facility | 624 E 13th St, Winamac, IN 46996-1117 | 2006-05-19 |
| 1306837869 | Pulaski Memorial Hospital | Skilled Nursing Facility | 516 Williams St, Angola, IN 46703-1144 | 2005-11-03 |
| 1811987894 | Pulaski Memorial Hospital | Skilled Nursing Facility | 643 West Utica Street, Sellersburg, IN 47172-1163 | 2005-10-21 |
| 1932196177 | Pulaski Memorial Hospital | Skilled Nursing Facility | 1010 W Washington Center Rd, Ft Wayne, IN 46825-4155 | 2005-10-03 |
| 1376540310 | Pulaski Memorial Hospital | Home Health | 616 E. 13th Street, Winamac, IN 46996-1117 | 2005-07-06 |
| 1346245271 | Pulaski Memorial Hospital | Nursing Facility/Intermediate Care Facility | 801 Huntington Ave, Warren, IN 46792-9402 | 2005-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PULASKI MEMORIAL HOSPITAL | 616 E 13th St, Winamac, IN 46996-1117 |
| Street Address |
616 E 13TH ST |
| City | WINAMAC |
| State | IN |
| Zip Code | 46996-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952395527 | Brian Matthew Pilarski | Physical Therapy Assistant | 616 E 13th St, Winamac, IN 46996-1117 | 2005-09-09 |
| 1730686114 | Rebecca Marie Jernstrom | Nurse Practitioner | 616 E 13th St, Winamac, IN 46996-1117 | 2018-04-11 |
| 1447546031 | Melissa D Zahrt | Family Medicine | 616 E 13th St, Winamac, IN 46996-1117 | 2011-06-22 |
| 1457688376 | Alice Paulsen | Occupational Therapist | 616 E 13th St, Winamac, IN 46996-1117 | 2009-11-13 |
| 1033363353 | Winamac Emergency Physicians LLC | Emergency Medicine | 616 E 13th St, Winamac, IN 46996-1117 | 2008-11-13 |
| 1053580076 | Terry M Weaver | Physical Therapy Assistant | 616 E 13th St, Winamac, IN 46996-1117 | 2008-02-24 |
| 1316129695 | Husam Baki | Internal Medicine | 616 E 13th St, Winamac, IN 46996 | 2007-11-29 |
| 1164601142 | Rebecca Sue Dilts | Speech-Language Pathologist | 616 E 13th St, Winamac, IN 46996-1117 | 2007-10-26 |
| 1407044506 | Lori Lynn Semrau | Occupational Therapy Assistant | 616 E 13th St, Winamac, IN 46996-1117 | 2007-10-15 |
| 1205024312 | Holly Tolzin | Physical Therapy Assistant | 616 E 13th St, Winamac, IN 46996-1117 | 2007-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568003523 | Stephanie Michelle Parish | Technician | 8111 W 400 S, Winamac, IN 46996 | 2019-10-01 |
| 1376976571 | Ourhealth Physician Group, LLC | Clinic/Center | 144 S. County Road 100 W, Winamac, IN 46996 | 2013-08-12 |
| 1316078520 | Eastern Pulaski Community School Corporation | Local Education Agency (LEA) | 711 School Drive, Winamac, IN 46996 | 2007-03-08 |
| 1649288689 | Goble Heal Chiropractic PC | Chiropractor | 116 E Pearl Street, Winamac, IN 46996 | 2006-08-04 |
| 1841832888 | Safeguard Joy LLC | In Home Supportive Care | 8111 W 400 S, Winamac, IN 46996 | 2019-10-10 |
| 1568958239 | John Paul Wunderlich | Counselor | 118 N Sally Dr, Winamac, IN 46996 | 2018-07-06 |
| 1770839797 | Catherine Dywan | Social Worker | 540 Hospital Dr, Winamac, IN 46996 | 2012-07-27 |
| 1013062686 | Clinton L. Kauffman | Family Medicine | 540 Hospital Dr, Winamac, IN 46996 | 2007-01-24 |
| 1750451811 | Frank A Utes | Family Medicine | 525 E Thirteenth St, Winamac, IN 46996-0186 | 2006-11-08 |
| 1285751040 | Mary Lynn Scheffer | Physical Therapist | 504 N Keller St, Winamac, IN 46996-1058 | 2007-03-24 |
| Find all providers in zip 46996 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275552812 | Parkview Wabash Hospital, Inc. | Medicare Defined Swing Bed Unit | 10 John Kissinger Dr., Wabash, IN 46992-1648 | 2006-07-18 |
| 1679173306 | Warsaw Health System LLC | Medicare Defined Swing Bed Unit | 2101 Dubois Dr, Warsaw, IN 46580-3210 | 2020-10-30 |
| 1356839591 | Bluffton Health System LLC | Medicare Defined Swing Bed Unit | 303 S Main St, Bluffton, IN 46714-2503 | 2018-04-24 |
| 1669991279 | Indiana University Health Jay, Inc. | Medicare Defined Swing Bed Unit | 500 W Votaw St, Portland, IN 47371-1322 | 2017-09-14 |
| 1902331507 | Indiana University Health Frankfort Inc | Medicare Defined Swing Bed Unit | 1300 S Jackson St, Frankfort, IN 46041-3313 | 2017-04-21 |
| 1265897532 | Knox Hospital Company LLC | Medicare Defined Swing Bed Unit | 102 E Culver Rd, Knox, IN 46534-2216 | 2015-12-30 |
| 1508232075 | Franciscan Health Rensselaer, Inc. | Medicare Defined Swing Bed Unit | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2015-08-19 |
| 1386088326 | Rhn Scott Memorial Hospital LLC | Medicare Defined Swing Bed Unit | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2013-04-22 |
| 1780971234 | St Vincent Dunn Hospital Inc | Medicare Defined Swing Bed Unit | 1600 23rd St, Bedford, IN 47421-4704 | 2011-07-06 |
| 1245560705 | St Vincent Salem Hospital Inc | Medicare Defined Swing Bed Unit | 911 N Shelby St, Salem, IN 47167-2304 | 2010-01-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.