NPIMap

Organization Active NPI

Jackson County Schneck Memorial Hospital

Doing business as Schneck Primary Care

  • Rural Health Clinic/Center
  • Seymour, IN
National Provider Identifier
1114502770
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Doing business as
Schneck Primary Care
Practice address
1124 Medical PL
Seymour, IN 47274-2640
Phone
(812) 522-1613
Fax
(812) 522-6694
NPI assigned
Mar 16, 2021
Last updated
Mar 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Deborah Mann
Title
VP Finance and Cfo/Treasurer
Phone
(812) 522-2349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1124 Medical PL
Seymour, IN 47274-2640

Mailing address

411 W Tipton St
Seymour, IN 47274-2363
Phone (812) 522-2349

Other names 1

  • Schneck Primary Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1114502770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742363",
            "telephone_number": "812-522-2349",
            "fax_number": "812-522-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 MEDICAL PL",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742640",
            "telephone_number": "812-522-1613",
            "fax_number": "812-522-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "VP FINANCE AND CFO/TREASURER",
        "authorized_official_telephone_number": "812-522-2349",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schneck Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seymour, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.