Organization · Type 2 NPI

Pulaski Memorial Hospital

Community Based Hospice Care Agency · Winamac, IN

NPI number 1891793576 Active

Practice location

616 E. 13th Street
Winamac, IN 46996-1117

Fax (574) 946-2128

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	009450 (IN)
Critical Access Hospital	282NC0060X	None listed

Community Based Hospice Care Agency: Definition to come...

Another provider at this address

Pulaski Memorial HospitalHome Health Agency Winamac, IN NPI 1376540310

NPI record

NPI: 1891793576
Entity type: Organization (Type 2)
Issued: Jul 7, 2005
Last updated: Sep 7, 2022
Status: Active
Subpart: Yes of Pulaski Memorial Hospital

Other names

<unavail>
Pulaski Memorial Home Health Care and Hospice · doing business as
Pulaski Memorial Home Health Care and Hospice · doing business as

Authorized official

Mrs. Vicki A White, RN
Director
(574) 946-2146

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891793576

Pulaski Memorial Hospital's National Provider Identifier is 1891793576, issued on Jul 7, 2005. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Winamac, IN. The record was last updated on Sep 7, 2022.