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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
JANET L VANGETS (DIRECTOR/OFFICER)
(765) 751-5404
Entity
Organization

Contact information

Practice address
1809 S MAIN ST, UPLAND, IN 46989-9242
(765) 992-6200
(765) 998-6204
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
207R00000X
Internal Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200991210A
IN
01
DQ6230
RR MEDICARE
IN
Enumeration date
05/27/2010
Last updated
11/01/2011
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