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Organization
INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL, INC.
Active
Organization
INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN VANATOR (CFO)
(765) 741-2891
Entity
Organization
Contact information
Practice address
4870 E JACKSON ST, MUNCIE, IN 47303-4432
(765) 254-9717
(765) 254-9739
Mailing address
1200 W WHITE RIVER BLVD, ATTN: PROVIDER ENROLLMENT, MUNCIE, IN 47303-4988
(765) 282-8991
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
—
NULL
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
NULL
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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