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PULASKI MEMORIAL HOSPITAL NORTH JUDSON FAMILY MEDICINE
NPI 1831679620
Clinic/Center - Rural Health in North Judson, IN

Active since August 21, 2018CLIA 15D2137056 · Waiver
414 LANE ST, NORTH JUDSON, IN 46366(574) 896-4325 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2022, Mar 13, 2020, Aug 21, 2018 (3 updates tracked since 2018).

About Pulaski Memorial Hospital North Judson Family Medicine NPPES

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

PULASKI MEMORIAL HOSPITAL NORTH JUDSON FAMILY MEDICINE (NPI 1831679620) is a healthcare organization registered as a rural health in North Judson, Indiana and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Gregg Malott, Cfo, as its authorized official.

NPPES Registry Identity

NPI1831679620
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePULASKI MEMORIAL HOSPITAL
Location Address414 LANE STNorth Judson, IN 46366-1226
Mailing AddressPo Box 279Winamac, IN 46996-0279 · (574) 946-2100
Phone(574) 896-4325
Organization SubpartYes
Authorized OfficialGregg MalottCfo · (574) 946-2103
Enumeration DateAugust 21, 2018
Last NPPES UpdateOctober 11, 20223 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
✔ NPI 1831679620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedGeneral PracticeTaxonomy 208D00000X
414 LANE ST, North Judson, IN 46366
Open in Google Maps ↗

Other Names 1

Doing Business AsPulaski Memorial Hospital North Judson Family Medicine

Other Identifiers 1

Medicaid300014361IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 15D2137056

Pulaski Memorial Hospital D/B/A North Judson Family Medicine · North Judson, IN
Active · expires Jun 9, 2028
CLIA Number15D2137056
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorMelissa Zahrt
Laboratory Phone(574) 896-4325
Laboratory LocationPulaski Memorial Hospital D/B/A North Judson Family Medicine414 Lane St, North Judson, IN 46366
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.

DIANA BRAUN NP
Nurse Practitioner (Family)
414 LANE ST
NORTH JUDSON, IN 46366
Starke County (574) 896-4325
BETH ANN RUFF-CRAWFORD N.P.
Nurse Practitioner (Obstetrics & Gynecology)
414 LANE ST
NORTH JUDSON, IN 46366
Starke County (574) 896-4325
LA PORTE REGIONAL PHYSICIAN NETWORK
Family Medicine
414 LANE ST
NORTH JUDSON, IN 46366
Starke County (574) 896-3444

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 1831679620. It was assigned to this organization in the NPPES registry on August 21, 2018. The provider is doing business as Pulaski Memorial Hospital North Judson Family Medicine.

Where is Pulaski Memorial Hospital located?

Pulaski Memorial Hospital is located at 414 Lane St, North Judson, IN 46366. The listed phone number is (574) 896-4325.

What is Pulaski Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Pulaski Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2137056) is associated with this NPI, valid through June 9, 2028. 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 October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.