Healthcare Provider Details

I. General information

NPI: 1730011834
Provider Name (Legal Business Name): JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 W TIPTON ST STE 218
SEYMOUR IN
47274-2363
US

IV. Provider business mailing address

411 W TIPTON ST STE 218
SEYMOUR IN
47274-2363
US

V. Phone/Fax

Practice location:
  • Phone: 812-522-2349
  • Fax:
Mailing address:
  • Phone: 812-522-2349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

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