Provider Demographics
NPI:1952076069
Name:JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Other - Org Name:SCHNECK PEDIATRIC AND ADULT MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE AND CFO/TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-522-2349
Mailing Address - Street 1:411 W TIPTON ST
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-2363
Mailing Address - Country:US
Mailing Address - Phone:812-522-2349
Mailing Address - Fax:812-522-0792
Practice Address - Street 1:225 S PINE ST
Practice Address - Street 2:2ND FL JACKSON MEDICAL BUILDING
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-2367
Practice Address - Country:US
Practice Address - Phone:812-523-7466
Practice Address - Fax:812-523-4255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health