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NPI Code Detail

MEDICARE: MAJOR HOSPITAL

MEDICARE: MAJOR HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility05-000537-3IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000476407OTHERINANTHEM OT
2000000476408OTHERINANTHEM PT
3000000381427OTHERINANTHEM BCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5000000476409OTHERINANTHEM ST
65585000001OTHERINDMERC REGION B SUPPLIER#

General Provider Information

NPI Number : 1356389902
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAJOR HOSPITAL
Provider Business Mailing Address
First Line : 3895 S KEYSTONE AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-3540
Country : US
Telephone Number : 317-787-5364
Fax Number : 765-788-3960
Provider Business Practice Location Address
First Line : 3895 S KEYSTONE AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-3540
Country : US
Telephone Number : 317-787-5364
Fax Number : 317-788-3962
Authorized Official
Title or Position : PRESIDENT & CEO
Name : MR. JOHN HORNER
Credential :
Telephone Number : 317-398-5252
Provider Enumeration Date : 06/04/2006
Last Update Date : 08/07/2014

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Directions to “MAJOR HOSPITAL ” Practice Location

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