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PULASKI MEMORIAL HOSPITAL
NPI 1528626652
General Practice in Knox, IN

Active since June 04, 2019CLIA 15D2170744 · Waiver

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2024, Mar 13, 2020, Jun 4, 2019 (3 updates tracked since 2019).

About Pulaski Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PULASKI MEMORIAL HOSPITAL (NPI 1528626652) is a healthcare organization registered as a general practice in Knox, Indiana and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Gregg Malott, Cfo, as its authorized official.

NPPES Registry Identity

NPI1528626652
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePULASKI MEMORIAL HOSPITAL
Location Address2 S PEARL STKnox, IN 46534-1416
Mailing AddressPo Box 279Winamac, IN 46996-0279 · (574) 946-2100
Phone(574) 207-5050
Organization SubpartYes
Authorized OfficialGregg MalottCfo · (574) 946-2103
Enumeration DateJune 4, 2019
Last NPPES UpdateDecember 10, 20243 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1528626652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
2 S PEARL ST, Knox, IN 46534
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2170744

Pulaski Memorial Hospital Knox Medical Clinic · Knox, IN
Active · expires Aug 18, 2027
CLIA Number15D2170744
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorJennifer Biesiadecki
Laboratory Phone(574) 207-5050
Laboratory LocationPulaski Memorial Hospital Knox Medical Clinic2 S Pearl Street, Knox, IN 46534
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A.N. DAMODARAN, M.D. INC.
Internal Medicine
2 S PEARL ST
KNOX, IN 46534
Starke County (574) 207-5050
MED EASE INC
Durable Medical Equipment & Medical Supplies
2 S PEARL ST
KNOX, IN 46534
Starke County (574) 806-0804
CYNTHIA OEZER
Nurse Practitioner (Gerontology)
2 S PEARL ST
KNOX, IN 46534
Starke County (574) 207-5050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pulaski Memorial Hospital's NPI number?

The NPI number for Pulaski Memorial Hospital is 1528626652. It was assigned to this organization in the NPPES registry on June 4, 2019.

Where is Pulaski Memorial Hospital located?

Pulaski Memorial Hospital is located at 2 S Pearl St, Knox, IN 46534. The listed phone number is (574) 207-5050.

What is Pulaski Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Pulaski Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2170744) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pulaski Memorial Hospital accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Pulaski Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pulaski Memorial Hospital was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.