# MAJOR HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Waters of Indianapolis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356389902
- **Authorized official:** MR. JOHN HORNER (PRESIDENT & CEO)
- **Authorized official phone:** (317) 398-5252

## Contact information

- **Practice address:** 3895 S KEYSTONE AVE, INDIANAPOLIS, IN 46227-3540
- **Practice address phone:** (317) 787-5364
- **Practice address fax:** (317) 788-3962
- **Mailing address:** 3895 S KEYSTONE AVE, INDIANAPOLIS, IN 46227-3540
- **Mailing address phone:** (317) 787-5364
- **Mailing address fax:** (765) 788-3960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 05-000537-3 | IN | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 08/07/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000381427 | ANTHEM BCBS | IN |
| 01 | — | 000000476407 | ANTHEM OT | IN |
| 01 | — | 000000476408 | ANTHEM PT | IN |
| 01 | — | 000000476409 | ANTHEM ST | IN |
| 05 | — | 100267270C | — | IN |
| 01 | — | 5585000001 | DMERC REGION B SUPPLIER\# | IN |