Provider Demographics
NPI:1215225792
Name:MAJOR HOSPITAL
Entity Type:Organization
Organization Name:MAJOR HOSPITAL
Other - Org Name:TRANSCENDENT HEALTHCARE OF BOONVILLE - NORTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:J
Authorized Official - Last Name:O'NIONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-431-6139
Mailing Address - Street 1:215 SE 4TH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47713-1201
Mailing Address - Country:US
Mailing Address - Phone:812-426-6550
Mailing Address - Fax:812-426-6562
Practice Address - Street 1:305 E NORTH ST
Practice Address - Street 2:
Practice Address - City:BOONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47601-1357
Practice Address - Country:US
Practice Address - Phone:812-897-2810
Practice Address - Fax:812-897-2630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-18
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100273890Medicaid
IN155801Medicare Oscar/Certification