Interprofessional Community Clinics

LBN: Ball State University
Interprofessional Community Clinics is an health care organization with primary practice located at 1613 W Riverside Ave Hb 155 , Muncie IN 47306-1022. The organization recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Audiologist is the primary health care specialty. Ball State University can be contacted via phone (765) 285-5354, or through Mattern, Blair Scott via phone (765) 285-5354.

Contact Information

Primary practice address
1613 W Riverside Ave Hb 155 Muncie IN 47306-1022
Fax: (765) 285-5623
Website:
Authorized official contact:
Name: Mattern, Blair Scott

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002219A Indiana
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002244A Indiana
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23000144 Indiana
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002284A Indiana
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22002106 Indiana
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22000224A Indiana
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22001549 Indiana
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22002004A Indiana
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22003906A Indiana
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22002254A Indiana
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22003456A Indiana
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22001560 Indiana
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22001905A Indiana
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22002571 Indiana
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22001890A Indiana

Profile Details

NPI number 1093937476
LBN Legal business name Ball State University
DBA Doing business as Interprofessional Community Clinics
Authorized official Mattern, Blair Scott
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Dec 20th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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