# JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Signature HealthCARE of Fort Wayne
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518308295
- **Authorized official:** WARREN FORGEY (TREASURER)
- **Authorized official phone:** (812) 522-2349

## Contact information

- **Practice address:** 6006 BRANDY CHASE CV, FORT WAYNE, IN 46815-7601
- **Practice address phone:** (260) 486-3001
- **Practice address fax:** (260) 486-5866
- **Mailing address:** 6006 BRANDY CHASE CV, FORT WAYNE, IN 46815-7601

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2013
- **Last updated:** 01/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100266910C | — | IN |