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DSH150065J SCHNECK MEDICAL CENTER (Active)
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Main Details
Name
SCHNECK MEDICAL CENTER
Subdivision Name
JACKSON COUNTY SCHNECK HOSPITAL - OB Gyn
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH150065J
Medicare Provider Number
150065
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/16/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/14/2023
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Jackson County Schneck Memorial Hospital
Deborah Ridlen, VP Finance/CFO
(812) 522-0170
Primary Contact
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Kathy Covert, VP Workforce and Support Services
(812) 522-2349
Addresses
Street Address
411 W TIPTON ST
SEYMOUR, IN 47274-2363
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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