Organization Active NPI

Jackson County Schneck Memorial Hospital

Doing business as Signature Healthcare of Bluffton

  • Skilled Nursing Facility
  • Bluffton, IN
National Provider Identifier
1811313398
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Doing business as
Signature Healthcare of Bluffton
Practice address
1529 Lancaster St
Bluffton, IN 46714-1507
Phone
(260) 824-4320
Fax
(260) 824-4689
NPI assigned
Mar 8, 2014
Last updated
Jun 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Authorized official

Name
Warren Forgey
Title
Treasurer
Phone
(812) 522-4238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1529 Lancaster St
Bluffton, IN 46714-1507

Mailing address

1529 Lancaster St
Bluffton, IN 46714-1507
Phone (260) 824-4320

Other identifiers 1

IdentifierTypeStateIssuer
100273870CMedicaidIN

Other names 1

  • Signature Healthcare of Bluffton Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1394236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1811313398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 LANCASTER ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467141507",
            "telephone_number": "260-824-4320",
            "fax_number": "260-824-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 LANCASTER ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467141507",
            "telephone_number": "260-824-4320",
            "fax_number": "260-824-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-08",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "FORGEY",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "812-522-4238"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100273870C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Healthcare of Bluffton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bluffton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.