South Shore Health & Rehabilitation Center

LBN: Pulaski Memorial Hospital
South Shore Health & Rehabilitation Center is an health care organization with primary practice located at 353 Tyler Street , Gary IN 46402-1149. 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 (219) 886-7070, or through Malott, Gregg A via phone (574) 946-2103.

Contact Information

Primary practice address
353 Tyler Street Gary IN 46402-1149
Phone: (219) 886-7070
Fax: (219) 886-0810
Website:
Map and Directions
Authorized official contact:
Name: Malott, Gregg A
Phone: (574) 946-2103

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 14-000369-1 Indiana
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1346292737
LBN Legal business name Pulaski Memorial Hospital
DBA Doing business as South Shore Health & Rehabilitation Center
Authorized official Malott, Gregg A
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Jun 13th, 2024 - about 2 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 1346292737 NPPES
Indiana MEDICAID 100275190B
Indiana MEDICAID 100275190

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