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General NPI Number Information
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NPI Number | 1922183086
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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 | 10/26/2006
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Last Update Date | 04/23/2015
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Provider Practice Location Address
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Address Line | 3100 S SHAWNEE DR
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City | BEDFORD
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State | IN
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Zip | 47421-5287
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Country | US
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Telephone | 812-278-8195
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Fax | 812-278-8196
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Provider Business Mailing Address
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Address Line | PO BOX 221648
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City | LOUISVILLE
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State | KY
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Zip | 40252-1648
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Country | US
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Telephone | 502-412-5847
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Fax |
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Authorized Official
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Title or Position | VP OF FISCAL SERVICES
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Name | DEBBIE RIDLEN
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Credential |
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Telephone | 812-522-0171
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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 | 050039241
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License Number State | IN
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