Organization
MAJOR HOSPITAL
Active
Other names
Milner Community Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M HORNER (PRESIDENT & CEO)
(371) 398-5252
Entity
Organization
Contact information
Practice address
370 E MAIN ST, ROSSVILLE, IN 46065-9461
(765) 379-2112
(765) 379-2942
Mailing address
370 E MAIN ST, ROSSVILLE, IN 46065-9461
(765) 379-2112
(765) 379-2942
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
050002991
IN
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
13-000299-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000203401
ANTHEM BLUE CROSS BLUE SH
IN
05
—
100286940
—
IN
Enumeration date
08/23/2006
Last updated
07/11/2014
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