Organization · Type 2 NPI

Pulaski Memorial Hospital

Skilled Nursing Facility · Fort Wayne, IN

NPI number 1932196177 Active

Practice location

1010 W Washington Center Rd.
Fort Wayne, IN 46825

Fax (419) 247-2872

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	05-000522-1 (IN)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1932196177
Entity type: Organization (Type 2)
Issued: Oct 3, 2005
Last updated: Apr 15, 2026
Status: Active

Other names

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Kingston Care Center of Fort Wayne · doing business as
Kingston Health Center of Fort Wayne · doing business as

Authorized official

Mr. Gregg A Malott
Chief Financial Officer
(574) 946-2103

Verify this record

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 1932196177

Pulaski Memorial Hospital's National Provider Identifier is 1932196177, issued on Oct 3, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 15, 2026.