# MAJOR HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255457826
- **Authorized official:** JOHN M HORNER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (317) 392-3211

## Contact information

- **Practice address:** 5025 MCCOOK AVE, EAST CHICAGO, IN 46312
- **Practice address phone:** (219) 397-0380
- **Practice address fax:** (219) 397-0668
- **Mailing address:** 5025 MCCOOK AVE, EAST CHICAGO, IN 46312-3759
- **Mailing address phone:** (219) 397-0380
- **Mailing address fax:** (219) 397-0668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 05-000108-1 | IN | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 05/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100267410B | — | IN |
| 01 | — | 155653 | PTAN | — |