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Organization
MAJOR HOSPITAL
Active
Organization
MAJOR HOSPITAL
Active
Other names
CORE of Dale
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M HORNER (PRESIDENT & CEO)
(317) 398-5252
Entity
Organization
Contact information
Practice address
510 W MEDCALF, BOX 325, DALE, IN 47523-0325
(812) 937-7073
Mailing address
510 W MEDCALF, P.O. BOX 325, DALE, IN 47523-0325
(812) 937-7073
(812) 254-6350
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
07-000170-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100287490C
—
IN
Enumeration date
01/04/2007
Last updated
09/05/2014
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