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General NPI Number Information
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NPI Number | 1043332927
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Entity Type | Organization
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Legal Business Name | JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 11/21/2019
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Provider Practice Location Address
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Address Line | 411 W TIPTON ST
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City | SEYMOUR
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State | IN
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Zip | 47274
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Country | US
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Telephone | 812-522-0414
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Fax | 812-522-0544
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Provider Business Mailing Address
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Address Line | 411 W TIPTON ST
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City | SEYMOUR
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State | IN
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Zip | 47274
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Country | US
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Telephone | 812-522-0414
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Fax | 812-522-0544
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Authorized Official
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Title or Position | VP FINANCE AND CFO/TREASURER
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Name | DEBORAH MANN
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Credential |
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Telephone | 812-522-2349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 050050601
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License Number State | IN
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