Organization
INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL, INC.
Active
Organization
INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL, INC.
Active
Other names
Cancer Center Boutique WW-1400
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E HALEY (PRESIDENT/CEO)
(765) 747-3251
Entity
Organization
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3111
Mailing address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000258974
BLUE CROSS
—
05
—
200436450A
—
IN
Enumeration date
02/28/2007
Last updated
07/20/2012
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