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/CEO)
(765) 747-3251
Entity
Organization
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 751-2650
Mailing address
250 N SHADELAND AVE, ATTN CAROL BOYD, INDIANAPOLIS, IN 46219-4959
(317) 963-0413
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200452010A
—
IN
01
—
CA1092
RR MEDICARE
IN
Enumeration date
07/25/2006
Last updated
10/14/2013
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