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PULASKI MEMORIAL HOSPITAL

Nursing/Intermediate Care Facility

Gary, Indiana

Provider NPI: 1346263217

Organization Information:
Organization Name:  PULASKI MEMORIAL HOSPITAL


Practice Location:
700 E 21ST AVE  GARY, IN 46407 US
Tel: 219-882-2563  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
IN05-000368-1

Other Provider Identifiers:

IssuerNumberStateType
100275220AIN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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