Hickory Creek At Winamac

LBN: Pulaski Memorial Hospital
Hickory Creek At Winamac is an health care organization with primary practice located at 515 E 13Th St , Winamac IN 46996-1144. 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 (574) 946-6143, or through Malott, Gregg A via phone (574) 946-2103.

Contact Information

Primary practice address
515 E 13Th St Winamac IN 46996-1144
Phone: (574) 946-6143
Fax: (574) 946-6186
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 05-000414-2 Indiana

Profile Details

NPI number 1720017510
LBN Legal business name Pulaski Memorial Hospital
DBA Doing business as Hickory Creek At Winamac
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 1720017510 NPPES
Indiana MEDICAID 100288550

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