| Iu Health Ball Memorial Physicians | |
|
1809 S Main St Upland IN 46989-9242 | |
| (765) 992-6200 | |
| (765) 998-6204 |
| Full Name | Iu Health Ball Memorial Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 1809 S Main St, Upland, Indiana |
| Authorized Official Name and Position | Janet L Vangets (DIRECTOR/OFFICER) |
| Authorized Official Contact | 7657515404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iu Health Ball Memorial Physicians 221 N Celia Ave Attn: Debera Barker Muncie IN 47303-4609 Ph: (765) 282-8905 | Iu Health Ball Memorial Physicians 1809 S Main St Upland IN 46989-9242 Ph: (765) 992-6200 |
| NPI Number | 1699094870 |
|---|---|
| Provider Enumeration Date | 05/27/2010 |
| Last Update Date | 11/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699094870 | NPI | - | NPPES |
| 200991210A | Medicaid | IN | |
| DQ6230 | Other | IN | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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