# JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lutheran Community Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609139401
- **Authorized official:** WARREN FORGEY (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (812) 522-2349

## Contact information

- **Practice address:** 111 CHURCH AVE, SEYMOUR, IN 47274-3621
- **Practice address phone:** (812) 522-5927
- **Mailing address:** 411 W TIPTON ST, SEYMOUR, IN 47274-2363

## Taxonomy

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

## Other

- **Enumeration date:** 06/18/2012
- **Last updated:** 10/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100275440 | — | IN |