Provider Demographics
NPI:1740559046
Name:MAJOR HOSPITAL
Entity Type:Organization
Organization Name:MAJOR HOSPITAL
Other - Org Name:WILLOWS OF SHELBYVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HORNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-398-5252
Mailing Address - Street 1:2309 S MILLER ST
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46176-9350
Mailing Address - Country:US
Mailing Address - Phone:317-398-9781
Mailing Address - Fax:317-398-6840
Practice Address - Street 1:2309 S MILLER ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-9350
Practice Address - Country:US
Practice Address - Phone:317-398-9781
Practice Address - Fax:317-398-6840
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAJOR HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-16
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility