Hickory Creek At Rochester

LBN: Pulaski Memorial Hospital
Hickory Creek At Rochester is an health care organization with primary practice located at 340 E 18Th St , Rochester IN 46975-2228. 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 (574) 223-5100, or through Malott, Gregg A via phone (574) 946-2103.

Contact Information

Primary practice address
340 E 18Th St Rochester IN 46975-2228
Phone: (574) 223-5100
Fax: (574) 224-5100
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 05-000326-2 Indiana

Profile Details

NPI number 1699704486
LBN Legal business name Pulaski Memorial Hospital
DBA Doing business as Hickory Creek At Rochester
Authorized official Malott, Gregg A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Aug 4th, 2023 - about 3 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 1699704486 NPPES
Indiana MEDICAID 100290770

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