Healthcare Provider Details

I. General information

NPI: 1245278829
Provider Name (Legal Business Name): MAJOR HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 08/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

958 HIGHWAY 46 E
BATESVILLE IN
47006-7600
US

IV. Provider business mailing address

958 HIGHWAY 46 E
BATESVILLE IN
47006-7600
US

V. Phone/Fax

Practice location:
  • Phone: 812-934-2436
  • Fax: 812-934-0667
Mailing address:
  • Phone: 812-934-2436
  • Fax: 812-934-0667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number05-000138-1
License Number StateIN

VIII. Authorized Official

Name: MR. JOHN HORNER
Title or Position: PRESIDENT & CEO
Credential:
Phone: 317-398-5252