Organization
BALL OUTPATIENT SURGERY CENTER, LLC
Active
Other names
Ball Outpatient Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JON SCHAEFER (MANAGER - AMBULATORY SERVICES)
(765) 751-5227
Entity
Organization
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 751-5227
(765) 741-2873
Mailing address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 751-5227
(765) 741-2873
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200967880A
—
IN
01
—
ZN0930
MEDICARE PTAN
—
Enumeration date
06/19/2009
Last updated
01/03/2011
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