Provider Demographics
NPI:1245278829
Name:MAJOR HOSPITAL
Entity type:Organization
Organization Name:MAJOR HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-398-5252
Mailing Address - Street 1:958 HIGHWAY 46 E
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-7600
Mailing Address - Country:US
Mailing Address - Phone:812-934-2436
Mailing Address - Fax:812-934-0667
Practice Address - Street 1:958 HIGHWAY 46 E
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-7600
Practice Address - Country:US
Practice Address - Phone:812-934-2436
Practice Address - Fax:812-934-0667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05-000138-1314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000385254OtherANTHEM BCBS ST OUTPATIENT
IN000000383042OtherANTHEM BCBS
IN000000385256OtherANTHEM BCBS PT OUTPATIENT
IN000000385255OtherANTHEM BCBS OT OUTPATIENT
IN100266500CMedicaid
IN000000385254OtherANTHEM BCBS ST OUTPATIENT
IN100266500CMedicaid