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
MR. MICHAEL E. HALEY (PRESIDENT AND CEO)
(765) 747-3251
Entity
Organization
Contact information
Practice address
2901 W JACKSON ST, MUNCIE, IN 47304-4307
(765) 751-2765
(765) 751-5059
Mailing address
250 N SHADELAND AVE, ATTN: CAROL BOYD, INDIANAPOLIS, IN 46219-4959
(317) 963-0413
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200452010A
—
IN
01
—
RR CA1092
RR MEDICARE
IN
Enumeration date
02/09/2010
Last updated
10/15/2013
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