Organization
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Active
Other names
Signature HealthCARE of Terre Haute
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN FORGEY (TREASURER)
(812) 522-0172
Entity
Organization
Contact information
Practice address
3500 MAPLE AVE, TERRE HAUTE, IN 47804-1732
(812) 238-1555
(812) 238-2514
Mailing address
3500 MAPLE AVE, TERRE HAUTE, IN 47804-1732
(812) 238-1555
(812) 238-2514
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100275360C
—
IN
Enumeration date
03/14/2013
Last updated
01/20/2015
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