Organization
MAJOR HOSPITAL
Active
Other names
McCormick's Creek Rehabilitation and Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HORNER (PRESIDENT AND CEO)
(317) 398-5252
Entity
Organization
Contact information
Practice address
210 STATE HIGHWAY 43, SPENCER, IN 47460-6725
(812) 829-3444
(812) 829-4999
Mailing address
210 STATE HIGHWAY 43, SPENCER, IN 47460-6725
(812) 829-3444
(812) 829-4999
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311Z00000X
Custodial Care Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000098146
ANTHEM BLUE CROSS PROVIDE
IN
05
—
200197620A
—
IN
Enumeration date
07/30/2006
Last updated
01/13/2021
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