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
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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