Indiana University Health Ball Memorial Physicians, Inc.
Organization Active NPI Family Medicine Physician · Albany, IN
NPI 1598085409 · NPPES record last updated Nov 1, 2011
Key facts
- NPI
- 1598085409
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC.
- Practice address
- 349 W 1St St
Albany, IN 47320-1705 - Phone
- (765) 789-4545
- Fax
- (765) 789-4131
- NPI assigned
- Jun 3, 2010
- Organization subpart
- No
Authorized official
- Name
- Janet L Vangets
- Title
- Director/Officer
- Phone
- (765) 751-3311
Other NPIs on the same Medicare enrollment 16
Corporate family (same tax ID) 15
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031110000505 | IN | Part B Supplier - Clinic/Group Practice | 9537072640 |
Receives reassigned benefits from 661 practitioners 17 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Southway Health and Dia
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
349 W 1St St
Albany, IN 47320-1705
Mailing address
221 N Celia Ave
Attn: Debera Barker
Muncie, IN 47303-4609
Phone (765) 282-8905
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200986050 B | Medicaid | IN | |
| 363L00000X | Other | TAXONOMY | |
| 207Q00000X | Other | TAXONOMY |
Other names
- IU Health Ball Memorial Physicians
Other providers in Albany, IN
- Curtis Foreman
- Angela Marlene Hall
- Haven House Counseling and Consulting Services
- Hannah Marie Hughes
- Robert E Hunter
- John W Carter MD LLC
- Michael Jones
- Shaquia Marcoux
- Matthew T McCrady
- Michael T McCrady
All providers in Albany, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.