JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL (NPI# 1952412546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952412546 |
| Entity Type | Organization |
| Organization Name | JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL |
| Other Organization Name | COVERED BRIDGE HEALTH CAMPUS |
| Practice Address |
1675 W Tipton St Seymour IN 47274-8659 |
| Mailing Address |
Po Box 221648 Louisville KY 40252-1648 |
| Practice Telephone | 8125236405 |
| Practice Fax Number | 8125236066 |
| Mailing Telephone | 5024125847 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-05-20 |
| Authorized Official Name | DEBBIE RIDLEN (VP FISCAL SERVICES) |
| Authorized Official Telephone | 8125220170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 06-003342-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200403740A | 05 |
| Other Name | Type Code |
|---|---|
| Covered Bridge Health Campus | 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 |
| 1801858568 | Jackson County Schneck Memorial Hospital | Hospice Care, Community Based | 321 W Bruce St Ste C, Seymour, IN 47274-2380 | 2006-04-06 |
| 1205839826 | Jackson County Schneck Memorial Hospital | Skilled Nursing Facility | 601 E Race St, Odon, IN 47562-1425 | 2005-05-27 |
| 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 |
1675 W TIPTON ST |
| City | SEYMOUR |
| State | IN |
| Zip Code | 47274-8659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528307303 | Christine Nichole Sova Shaver | Speech-Language Pathologist | 1675 W Tipton St, Seymour, IN 47274-8659 | 2013-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850102 | Alyssa Gorbett | Counselor | 320 Bruce St. Suite C, Seymour, IN 47274 | 2020-10-30 |
| 1871123562 | Kathy Jo Passereni | Pharmacist | 1541 Tipton St, Seymour, IN 47274 | 2020-01-22 |
| 1750886966 | Cassie Hackman | Registered Nurse | 6940 E County Road 50 N, Seymour, IN 47274 | 2018-03-28 |
| 1710327994 | Derek L Garcia | Dentist | 321 W Bruce St Ste A, Seymour, IN 47274 | 2013-07-02 |
| 1922349596 | Lisa Marie Lindsay Snow | Pediatrics | Schneck Pediatrics, 411 West Tipton Street, Seymour, IN 47274 | 2013-03-07 |
| 1750670733 | David Ryan Stone | Internal Medicine | 411 West Tipton Street, Seymour, IN 47274 | 2011-03-30 |
| 1518261254 | Peggy Jo Bowman | Social Worker | 1725 E. Tipton St., Ste 200, Seymour, IN 47274 | 2011-01-10 |
| 1174839054 | Matthew C Wilson | Family Medicine | Schneck Primary Care - Jackson Park, 1124 Medical Place, Seymour, IN 47274 | 2010-08-30 |
| 1346564390 | Emanuel Eugene Nearing II | Surgery | Schneck Surgical Associates, 411 West Tipton Street, Seymour, IN 47274 | 2010-03-19 |
| 1821320870 | Holly Lee Berry | Nurse Practitioner | 120 St. Louis Ave., Seymour, IN 47274 | 2010-02-02 |
| Find all providers in zip 47274 | ||||
| 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 |
|---|---|---|---|---|
| 1609139401 | Jackson County Schneck Memorial Hospital | Skilled Nursing Facility | 111 Church Ave, Seymour, IN 47274-3621 | 2012-06-18 |
| 1093740664 | Seymour Community Care Center Inc | Skilled Nursing Facility | 400 E Four St, Seymour, IA 52590-1227 | 2006-07-12 |
| 1851333256 | Lutheran Community Home, Inc. | Skilled Nursing Facility | 111 W Church Ave, Seymour, IN 47274-3621 | 2006-06-11 |
| 1225098643 | Shady Knoll Health Center, Inc | Skilled Nursing Facility | 41 Skokorat St, Seymour, CT 06483-3826 | 2006-03-28 |
| 1225027154 | Heritage House of Seymour, Inc. | Skilled Nursing Facility | 707 S Jackson Park Dr, Seymour, IN 47274-2627 | 2005-10-13 |
| 1689660987 | N & R of Seymour, Inc. | Skilled Nursing Facility | 851 W Thoroughfare St, Seymour, MO 65746-8767 | 2005-09-22 |
| 1861486755 | Grace Care of Texas, Inc. | Skilled Nursing Facility | 1110 Westview Dr, Seymour, TX 76380-3965 | 2005-09-07 |
| 1407257520 | Seymour Health and Rehab Operations LLC | Skilled Nursing Facility | 400 E 4th St, Seymour, IA 52590-1227 | 2014-09-08 |
| 1861891186 | Baylor County Hospital District | Skilled Nursing Facility | 1110 Westview Dr, Seymour, TX 76380-3965 | 2014-08-22 |
| 1215370994 | Shady Knoll Health Care Center, Inc. | Skilled Nursing Facility | 41 Skokorat St, Seymour, CT 06483-3826 | 2013-04-11 |
| Find all providers in SEYMOUR | ||||
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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.