Provider Demographics
NPI:1336685536
Name:JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Other - Org Name:WELLLIFE BY SCHNECK
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF CORPORATE HEALTH/WELLNE
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:BEAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN CCM
Authorized Official - Phone:812-523-6444
Mailing Address - Street 1:100 N WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-2192
Mailing Address - Country:US
Mailing Address - Phone:812-523-5185
Mailing Address - Fax:812-523-3826
Practice Address - Street 1:100 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-2192
Practice Address - Country:US
Practice Address - Phone:812-523-5185
Practice Address - Fax:812-523-3826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health