Cancer Center Boutique Ww-1400

LBN: Indiana University Health Ball Memorial Hospital, Inc.
Cancer Center Boutique Ww-1400 is an health care organization with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Indiana University Health Ball Memorial Hospital, Inc. can be contacted via phone (765) 747-3111, or through Haley, Michael E via phone (765) 747-3251.

Contact Information

Primary practice address
2401 W University Ave Muncie IN 47303-3428
Phone: (765) 747-3111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Haley, Michael E
Phone: (765) 747-3251

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1942337431
LBN Legal business name Indiana University Health Ball Memorial Hospital, Inc.
DBA Doing business as Cancer Center Boutique Ww-1400
Authorized official Haley, Michael E
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 20th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942337431 NPPES
Indiana MEDICAID 200436450A
Indiana Other 000000258974

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