# JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Signature HealthCARE at Parkwood
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184965550
- **Authorized official:** WARREN FORGEY (TREASURER)
- **Authorized official phone:** (812) 522-0172

## Contact information

- **Practice address:** 1001 N GRANT ST, LEBANON, IN 46052-1944
- **Practice address phone:** (765) 482-6400
- **Practice address fax:** (765) 483-5325
- **Mailing address:** 1001 N GRANT ST, LEBANON, IN 46052-1944
- **Mailing address phone:** (765) 482-6400
- **Mailing address fax:** (765) 483-5325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0000 | IN | Yes |

## Other

- **Enumeration date:** 03/11/2013
- **Last updated:** 01/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100290270C | — | IN |