Healthcare Provider Details

I. General information

NPI: 1477018893
Provider Name (Legal Business Name): PULASKI COMMUNITY HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2019
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 LEE HWY N
PULASKI VA
24301-2326
US

IV. Provider business mailing address

2400 LEE HWY N
PULASKI VA
24301-2326
US

V. Phone/Fax

Practice location:
  • Phone: 540-994-8100
  • Fax:
Mailing address:
  • Phone: 540-994-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: RACHAEL STANTON
Title or Position: CFO
Credential:
Phone: 540-953-5155