Organization
CARDINAL HEALTH SYSTEMS, INC
Active
Other names
Ball Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GILDERSLEEVE (EXECUTIVEVP/CHIEF FINANCIAL OFFICER)
(765) 747-3365
Entity
Organization
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 741-1592
(765) 747-3841
Mailing address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 741-1592
(765) 747-3841
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
1542
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000295080
BALL MEMORIAL DIALYSIS UN
IN
Enumeration date
01/13/2006
Last updated
08/22/2020
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