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General NPI Number Information
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NPI Number | 1801137948
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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 | 03/14/2013
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 4301 N WALNUT ST
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City | MUNCIE
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State | IN
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Zip | 47303-1190
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Country | US
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Telephone | 765-282-0053
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Fax | 765-282-3290
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Provider Business Mailing Address
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Address Line | 4301 N WALNUT ST
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City | MUNCIE
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State | IN
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Zip | 47303-1190
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Country | US
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Telephone | 765-282-0053
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Fax | 765-282-3290
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Authorized Official
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Title or Position | TREASURER
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Name | WARREN FORGEY
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Credential |
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Telephone | 812-522-0172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State | IN
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