Organization
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Active
Other names
Stonebridge Health Campus
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE RIDLEN (VP OF FISCAL SERVICES)
(812) 522-0171
Entity
Organization
Contact information
Practice address
3100 S SHAWNEE DR, BEDFORD, IN 47421-5287
(812) 278-8195
(812) 278-8196
Mailing address
PO BOX 221648, LOUISVILLE, KY 40252-1648
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050039241
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200472040A
—
IN
Enumeration date
10/26/2006
Last updated
04/23/2015
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