PULASKI MEMORIAL HOSPITAL (NPI# 1528626652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528626652 |
| Entity Type | Organization |
| Organization Name | PULASKI MEMORIAL HOSPITAL |
| Practice Address |
2 S Pearl St Knox IN 46534-1416 |
| Mailing Address |
Po Box 279 Winamac IN 46996-0279 |
| Practice Telephone | 5742075050 |
| Mailing Telephone | 5749462100 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | CHRISTY HAGUE (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 5749462147 |
| Is Organization Subpart | Y |
| Parent Organization Name | PULASKI MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| 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 |
2 S PEARL ST |
| City | KNOX |
| State | IN |
| Zip Code | 46534-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881634566 | Elizabeth A Wetzel | Family Medicine | 2 S Pearl St, Knox, IN 46534 | 2006-06-08 |
| 1790251239 | Cynthia Oezer | Nurse Practitioner | 2 S Pearl St, Knox, IN 46534-1416 | 2018-10-23 |
| 1114454139 | Tracy Lynn Haddix | Nurse Practitioner | 2 S Pearl St, Knox, IN 46534-1416 | 2017-05-22 |
| 1508229220 | Med Ease Inc | Durable Medical Equipment & Medical Supplies | 2 S Pearl St, Knox, IN 46534-1416 | 2016-03-31 |
| 1033585518 | Melissa Grcich | Registered Nurse | 2 S Pearl St, Knox, IN 46534-1416 | 2015-08-19 |
| 1689071318 | Integrity Medical Center, P.C. | Specialist | 2 S Pearl St, Knox, IN 46534-1416 | 2014-11-24 |
| 1285905117 | A.n. Damodaran, M.d. Inc. | Internal Medicine | 2 S Pearl St, Knox, IN 46534-1416 | 2012-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700304896 | Rocky Mountain Holdings, LLC | Ambulance | 1795 N 200 E, Knox, IN 46534 | 2017-09-08 |
| 1275918476 | Kimberly R Welsh | Social Worker | 2 S. Pearl Street, Knox, IN 46534 | 2015-07-29 |
| 1013300797 | Michelle Burbank | Social Worker | 1001 Edgewood Dr. Suite 1, Knox, IN 46534 | 2015-03-05 |
| 1649598392 | Dennis George Ogilvie | Dentist | 1191 A South Heaton, Knox, IN 46534 | 2010-05-05 |
| 1790827707 | Knox Community School Corporation | Local Education Agency (LEA) | #2 Redskin Trail, Knox, IN 46534 | 2007-02-13 |
| 1225100787 | Beacon Health Ventures Inc | Durable Medical Equipment & Medical Supplies | 2602 South U.S. 35, Knox, IN 46534 | 2006-11-13 |
| 1437184199 | Liberty Dialysis - Duneland LLC | Clinic/Center | 1008 Edgewood Drive, Knox, IN 46534 | 2006-07-11 |
| 1386602910 | Cameron R Gilbert | Psychologist | 1901 S Heaton St, Knox, IN 46534 | 2006-05-03 |
| 1801063268 | Healthlinc, Inc | Clinic/Center | 104 E Culver Rd, Suite 106, Knox, IN 46534 | 2008-05-14 |
| 1841364429 | Gregory J. Wittig | Dentist | 1800 S. U.S. 35, Knox, IN 46534-0152 | 2006-11-17 |
| Find all providers in zip 46534 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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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.