Organization
CARDINAL HEALTH SYSTEMS
Active
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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