Provider Demographics
NPI:1861018152
Name:BALL, INCORPORATED
Entity Type:Organization
Organization Name:BALL, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:ERROL
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:405-618-1908
Mailing Address - Street 1:3301 BELLA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-3801
Mailing Address - Country:US
Mailing Address - Phone:405-618-1908
Mailing Address - Fax:
Practice Address - Street 1:3301 BELLA VISTA DR
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-3801
Practice Address - Country:US
Practice Address - Phone:405-618-1908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care