Provider Demographics
NPI:1861767246
Name:MAJOR HOSPITAL
Entity type:Organization
Organization Name:MAJOR HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND 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 1:1200 WHITLATCH WAY
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:IN
Mailing Address - Zip Code:47031-8362
Mailing Address - Country:US
Mailing Address - Phone:812-654-2231
Mailing Address - Fax:
Practice Address - Street 1:1200 WHITLATCH WAY
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:IN
Practice Address - Zip Code:47031-8362
Practice Address - Country:US
Practice Address - Phone:812-654-2231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAJOR HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100266230AMedicaid
IN100266230AMedicaid