PULASKI MEMORIAL HOSPITAL CULVER MEDICAL CENTER
NPI 1952026015
Clinic/Center - Rural Health in Culver, IN

Active since October 11, 2022CLIA 15D2272038 · Waiver
232 S MAIN ST STE A, CULVER, IN 46511(574) 946-2584 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 4, 2024, Oct 11, 2022 (2 updates tracked since 2022).

About Pulaski Memorial Hospital Culver Medical Center NPPES

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

PULASKI MEMORIAL HOSPITAL CULVER MEDICAL CENTER (NPI 1952026015) is a healthcare organization registered as a rural health in Culver, Indiana and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Gregg Malott, Cfo, as its authorized official.

NPPES Registry Identity

NPI1952026015
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePULASKI MEMORIAL HOSPITAL
Location Address232 S MAIN ST STE ACulver, IN 46511-1648
Mailing AddressPo Box 279Winamac, IN 46996-0279
Organization SubpartYes
Authorized OfficialGregg MalottCfo · (574) 946-2103
Enumeration DateOctober 11, 2022
Last NPPES UpdateOctober 4, 20242 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1952026015 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
232 S MAIN ST STE A, Culver, IN 46511

Other Names 1

Doing Business AsPulaski Memorial Hospital Culver Medical Center

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pulaski Memorial Hospital Culver Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20040402000963Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

63

Medicare enrollment records show 63 clinicians reassign Medicare billing to Pulaski Memorial Hospital Culver Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Nurse Practitioner22
Diagnostic Radiology12
Family Practice8
Clinical Social Worker5
General Surgery4
Orthopedic Surgery2
Podiatry2
Emergency Medicine1
7 other specialties7

Nearest to this location (20)

See all 63
Nurse Practitioner
NPI 1568248946
6194 E MAIN ST
Monterey, IN 46960
(574) 542-2552
✔ PECOS✔ Accepts Medicare5.1 mi
Clinical Social Worker
NPI 1023269040
104 E CULVER RD STE 102
Knox, IN 46534
(574) 772-7918
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1790251239
2 S PEARL ST
Knox, IN 46534
(574) 207-5050
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1104423326
2 S PEARL ST
Knox, IN 46534
(574) 207-5050
✔ PECOS✔ Accepts Medicare12 mi
Clinical Social Worker
NPI 1407047186
118 N SALLY DR
Winamac, IN 46996
(574) 946-4233
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1699773994
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS14 mi
General Surgery
NPI 1790813442
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1730686114
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1730272857
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1902366412
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1386178861
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare14 mi
Clinical Social Worker
NPI 1770839797
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1851862585
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare14 mi
Clinical Social Worker
NPI 1952637308
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare14 mi
General Surgery
NPI 1912388414
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare14 mi
Podiatry
NPI 1659860096
616 E 13TH ST
Winamac, IN 46996
(574) 946-2135
✔ PECOS✔ Accepts Medicare14 mi
Mental Health Counselor
NPI 1740103761
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2143
✔ PECOS14 mi
General Surgery
NPI 1184796039
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare14 mi
General Surgery
NPI 1487654851
710 N STATE ROAD 25
Rochester, IN 46975
(574) 223-2020
✔ PECOS✔ Accepts Medicare16 mi
Pediatric Medicine
NPI 1033446984
740 N STATE ROAD 25
Rochester, IN 46975
(574) 223-6080
✔ PECOS16 mi
See all 63 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 15D2272038

Pulaski Memorial Hospital Culver Medical Center · Culver, IN
Active · expires Nov 13, 2026
CLIA Number15D2272038
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorTim Day
Laboratory Phone(574) 946-2584
Laboratory LocationPulaski Memorial Hospital Culver Medical Center232 S Main Street, Suite A, Culver, IN 46511
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1952026015. It was assigned to this organization in the NPPES registry on October 11, 2022. The provider is doing business as Pulaski Memorial Hospital Culver Medical Center.

Where is Pulaski Memorial Hospital located?

Pulaski Memorial Hospital is located at 232 S Main St Ste A, Culver, IN 46511. The listed phone number is (574) 946-2584.

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.

Is Pulaski Memorial Hospital enrolled in Medicare?

Yes. Pulaski Memorial Hospital is registered in the Medicare PECOS enrollment system.

When is Pulaski Memorial Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Pulaski Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 63 clinicians in 15 Medicare specialties reassign their Medicare billing to Pulaski Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (22), Diagnostic Radiology (12) and Family Practice (8). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pulaski Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2272038) is associated with this NPI, valid through November 13, 2026. 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, Anthem Blue Cross and Blue Shield 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 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.