Organization
INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC.
Active
Other names
IU Health Cardiology Interpretation Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E HALEY (PRESIDENT/CEO)
(765) 747-3251
Entity
Organization
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 289-6166
Mailing address
250 N SHADELAND AVE, ATTN: CAROL BOYD, INDIANAPOLIS, IN 46219-4959
(317) 963-0413
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200452010B
—
IN
01
—
CA1092
RR MEDICARE
IN
Enumeration date
12/29/2006
Last updated
10/14/2013
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