Organization
CARDINAL HEALTH SYSTEMS
Active
Other names
Ball Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GILDERSLEEVE (CHIEF FINANCIAL OFFICIER)
(765) 747-3367
Entity
Organization
Contact information
Practice address
2200 FOREST RIDGE PKWY, STE#320, NEW CASTLE, IN 47362-2943
(765) 593-2977
(765) 593-2976
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
010644
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000295082
BALL DIALYSIS AT HENRY CO
IN
Enumeration date
07/22/2006
Last updated
08/22/2020
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