Northern Lakes Nursing & Rehab Center

LBN: Pulaski Memorial Hospital
Northern Lakes Nursing & Rehab Center is an health care organization with primary practice located at 516 Williams St , Angola IN 46703-1144. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Pulaski Memorial Hospital can be contacted via phone (260) 665-9467, or through Baker, Lisa via phone (812) 748-9155.

Contact Information

Primary practice address
516 Williams St Angola IN 46703-1144
Phone: (260) 665-9467
Fax: (260) 624-2297
Website:
Map and Directions
Authorized official contact:
Name: Baker, Lisa
Phone: (812) 748-9155

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 050004261 Indiana

Profile Details

NPI number 1306837869
LBN Legal business name Pulaski Memorial Hospital
DBA Doing business as Northern Lakes Nursing & Rehab Center
Authorized official Baker, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2005
Last updated Feb 26th, 2018 - about 8 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 1306837869 NPPES
Indiana MEDICAID 100275480

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