Healthcare Provider Details

I. General information

NPI: 1558604074
Provider Name (Legal Business Name): JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6685 E 117TH AVE
CROWN POINT IN
46307-7808
US

IV. Provider business mailing address

6685 E 117TH AVE
CROWN POINT IN
46307-7808
US

V. Phone/Fax

Practice location:
  • Phone: 219-662-0642
  • Fax: 219-663-4260
Mailing address:
  • Phone: 219-662-0642
  • Fax: 219-663-4260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH MANN
Title or Position: CFO/TREASURER
Credential:
Phone: 812-522-0170