Maple Manor Christian Home

LBN: Pulaski Memorial Hospital
Maple Manor Christian Home is an health care organization with primary practice located at 643 West Utica Street , Sellersburg IN 47172-1163. 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 (812) 246-4866, or through Malott, Gregg A. via phone (574) 946-2100.

Contact Information

Primary practice address
643 West Utica Street Sellersburg IN 47172-1163
Phone: (812) 246-4866
Fax: (821) 246-3925
Website:
Map and Directions
Authorized official contact:
Name: Malott, Gregg A.
Phone: (574) 946-2100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 05-00056301 Indiana

Profile Details

NPI number 1811987894
LBN Legal business name Pulaski Memorial Hospital
DBA Doing business as Maple Manor Christian Home
Authorized official Malott, Gregg A.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 16th, 2019 - about 7 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 1811987894 NPPES
Indiana MEDICAID 100267610 A
Indiana Other 000000556877

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