NPIMap

Indiana University Health Ball Memorial Physicians, Inc

Organization Active NPI Family Medicine Physician · Muncie, IN

NPI 1609800689 · NPPES record last updated Nov 1, 2011

Key facts

NPI
1609800689
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC
Practice address
221 N Celia Ave
Muncie, IN 47303-4609
Phone
(765) 747-3141
NPI assigned
Jul 10, 2006
Organization subpart
No

Authorized official

Name
Mr. Michael E. Haley
Title
President and Ceo
Phone
(765) 747-3251

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 12

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 32

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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 (16 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

221 N Celia Ave
Muncie, IN 47303-4609

Mailing address

221 N Celia Ave
Attn: Debera Barker
Muncie, IN 47303-4609
Phone (765) 282-8905

Other identifiers

IdentifierTypeStateIssuer
200083210DMedicaidIN
CA1092OtherINRR MEDICARE

Other names

  • IU Health Ball Memorial Family Medicine Clinic Doing business as

Other providers in Muncie, IN

All providers in Muncie, IN · Family Medicine Physician in Indiana

Sources for this page

Verify at the official NPI Registry.