Organization
INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC.
Active
Other names
IU Health Ball Memorial Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L VANGETS (DIRECTOR/OFFICER)
(765) 751-3311
Entity
Organization
Contact information
Practice address
400 PILGRIM BLVD, HARTFORD CITY, IN 47348-1382
(765) 348-5776
(765) 348-3865
Mailing address
250 N SHADELAND AVE, ATTN: CAROL BOYD, INDIANAPOLIS, IN 46219-4959
(317) 963-0413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200986050 G
—
IN
01
—
DQ6230
RR MEDICARE
IN
Enumeration date
05/27/2010
Last updated
10/14/2013
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