Organization
INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC.
Active
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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