Organization
INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC
Active
Other names
IU Health Ball Memorial Family Medicine Clinic
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
221 N CELIA AVE, MUNCIE, IN 47303-4609
(765) 747-3141
Mailing address
221 N CELIA AVE, ATTN: DEBERA BARKER, MUNCIE, IN 47303-4609
(765) 282-8905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200083210D
—
IN
01
—
CA1092
RR MEDICARE
IN
Enumeration date
07/10/2006
Last updated
11/01/2011
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