# INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073164646
- **Authorized official:** MR. JONATHAN VANATOR (CFO)
- **Authorized official phone:** (765) 741-2891

## Contact information

- **Practice address:** 4870 E JACKSON ST, MUNCIE, IN 47303-4432
- **Practice address phone:** (765) 254-9717
- **Practice address fax:** (765) 254-9739
- **Mailing address:** 1200 W WHITE RIVER BLVD, ATTN: PROVIDER ENROLLMENT, MUNCIE, IN 47303-4988
- **Mailing address phone:** (765) 282-8991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | NULL | Yes |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | — | Yes |
| 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