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DSH150065D SCHNECK MEDICAL CENTER (Terminated)
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Main Details
Name
SCHNECK MEDICAL CENTER
Subdivision Name
SCHNECK MEDICAL CENTER / Wound Care
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH150065D
Medicare Provider Number
150065
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
8/15/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/23/2016
Last Recertification Date
Termination Date
Termination Reason
1/1/2018
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
Jackson County Schneck Memorial Hospital
Deborah Ridlen, VP Finance/CFO
(812) 522-0170
Primary Contact
Schneck Medical Center
Shawna Shinkle, Controller
(812) 522-0487
Addresses
Street Address
100 N WALNUT ST
SEYMOUR, IN 47274-2192
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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