JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL (NPI# 1205839826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205839826 |
| Entity Type | Organization |
| Organization Name | JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL |
| Other Organization Name | BERTHA D GARTEN KETCHAM MEMORIAL CENTER |
| Practice Address |
601 E Race St Odon IN 47562-1425 |
| Practice Telephone | 8126364920 |
| Practice Fax Number | 8126364763 |
| Mailing Telephone | 8126364920 |
| Mailing Fax Number | 8126364763 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2013-11-02 |
| Authorized Official Name | KATHY ANN WITTMER (ADMINISTRATOR) |
| Authorized Official Telephone | 8126364920 |
| Authorized Official Credential | H.F.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 050003001 | IN | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100287340A | 05 |
| Other Name | Type Code |
|---|---|
| Bertha D Garten Ketcham Memorial Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609139401 | Jackson County Schneck Memorial Hospital | Skilled Nursing Facility | 111 Church Ave, Seymour, IN 47274-3621 | 2012-06-18 |
| 1922183086 | Jackson County Schneck Memorial Hospital | Skilled Nursing Facility | 3100 S Shawnee Dr, Bedford, IN 47421-5287 | 2006-10-26 |
| 1952412546 | Jackson County Schneck Memorial Hospital | Skilled Nursing Facility | 1675 W Tipton St, Seymour, IN 47274-8659 | 2006-08-31 |
| 1801858568 | Jackson County Schneck Memorial Hospital | Hospice Care, Community Based | 321 W Bruce St Ste C, Seymour, IN 47274-2380 | 2006-04-06 |
| 1336685536 | Jackson County Schneck Memorial Hospital | Clinic/Center | 100 N Walnut St, Seymour, IN 47274-2192 | 2017-01-11 |
| 1811313398 | Jackson County Schneck Memorial Hospital | Skilled Nursing Facility | 1529 Lancaster St, Bluffton, IN 46714-1507 | 2014-03-08 |
| 1275959751 | Jackson County Schneck Memorial Hospital | Skilled Nursing Facility | 316 Woodies Ln, Bremen, IN 46506-1354 | 2014-03-08 |
| 1518308295 | Jackson County Schneck Memorial Hospital | Skilled Nursing Facility | 6006 Brandy Chase Cv, Fort Wayne, IN 46815-7601 | 2013-07-10 |
| 1417398199 | Jackson County Schneck Memorial Hospital | Skilled Nursing Facility | 300 Windy Hill Dr, Lafayette, IN 47905-2862 | 2013-07-10 |
| 1780025460 | Jackson County Schneck Memorial Hospital | Skilled Nursing Facility | 52654 Ironwood Rd, South Bend, IN 46635-1123 | 2013-07-10 |
| Street Address |
601 E RACE ST |
| City | ODON |
| State | IN |
| Zip Code | 47562-1425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942260864 | Richard A Potts | Family Medicine | 202 North West St, Odon, IN 47562 | 2006-03-24 |
| 1689642357 | Bryan F Porter | Family Medicine | 202 North West Street, Odon, IN 47562 | 2006-03-09 |
| 1407842164 | Mc Ambulance Service, LLC. | Ambulance | 10770 N 600 E, Odon, IN 47562 | 2005-09-27 |
| 1942368469 | Daviess County Hospital | Clinic/Center | 202 N West St, Odon, IN 47562-1032 | 2006-12-05 |
| 1851810055 | Daniell M Summers | Nurse Practitioner | 202 N West St, Odon, IN 47562-1032 | 2017-09-19 |
| 1063744456 | Mendy L Mullis | Physician Assistant | 202 N West St, Odon, IN 47562-1032 | 2010-02-10 |
| 1265769319 | Melissa L Reintjes | Nurse Practitioner | 202 N West St, Odon, IN 47562-1032 | 2009-11-11 |
| 1689749434 | Lisa K Menefee | Dentist | 420 N West St, Odon, IN 47562-1036 | 2006-11-21 |
| 1891984522 | Jennings Dentistry Inc | Dentist | 420 N West St, Odon, IN 47562-1036 | 2007-10-18 |
| 1285853085 | Diane J. Heckley PC | Dentist | 420 N West St, Odon, IN 47562-1036 | 2007-04-24 |
| Find all providers in zip 47562 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618956 | Empowerme Rehabilitation Illinois, LLC | Skilled Nursing Facility | 3203 E Moores Pike, Bloomington, IN 47401-7122 | 2020-10-29 |
| 1629698808 | Decatur County Memorial Hospital | Skilled Nursing Facility | 6712 Restoracy Drive, Whitestown, IN 46075-0089 | 2020-04-17 |
| 1922586510 | Aperion Care Marion LLC | Skilled Nursing Facility | 614 W 14th St, Marion, IN 46953-2158 | 2018-08-06 |
| 1427548270 | Vibra Rehabilitation Hospital of Southern Indiana, LLC | Skilled Nursing Facility | 3104 Blackiston Boulevard, New Albany, IN 47150-9579 | 2018-05-17 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1366974404 | Mika Riddle | Skilled Nursing Facility | 407 W Walnut St, Van Buren, IN 46991 | 2017-03-29 |
| 1245787076 | Sara Steffe | Skilled Nursing Facility | 1015 Virginia St, Ferdinand, IN 47532-9285 | 2016-09-09 |
| 1770030504 | Valerie Burdette | Skilled Nursing Facility | 1872 E County Road 825 S, Oakland City, IN 47660-8911 | 2016-09-09 |
| 1205286507 | Christina Basham | Skilled Nursing Facility | 710 Bluffview Dr, Angola, IN 46703-2206 | 2016-06-16 |
| 1164878583 | Good Samaritan Hospital | Skilled Nursing Facility | 811 E. Baseline Road, Evansville, IN 47725-9340 | 2016-05-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.