Organization
HANCOCK REGIONAL HOSPITAL
Active
Other names
Majestic Care of McCordsville
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN V LONG (PRESIDENT & CEO)
(317) 468-4412
Entity
Organization
Contact information
Practice address
7476 W LANE RD, MC CORDSVILLE, IN 46055-9506
(317) 335-2159
(317) 335-3325
Mailing address
PO BOX 36248, INDIANAPOLIS, IN 46236-0248
(317) 335-2159
(317) 335-3325
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060004771
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112922
ANTHEM BCBS
IN
01
—
0783610001
DMEAC
IN
05
—
100290860A
—
IN
Enumeration date
08/22/2006
Last updated
02/20/2024
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