Organization
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Active
Other names
Signature HealthCARE at Parkwood
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN FORGEY (TREASURER)
(812) 522-0172
Entity
Organization
Contact information
Practice address
1001 N GRANT ST, LEBANON, IN 46052-1944
(765) 482-6400
(765) 483-5325
Mailing address
1001 N GRANT ST, LEBANON, IN 46052-1944
(765) 482-6400
(765) 483-5325
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100290270C
—
IN
Enumeration date
03/11/2013
Last updated
01/20/2015
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