# INDIANA CARE NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164173613
- **Authorized official:** BRUCE A. BUSH MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (724) 388-3814

## Contact information

- **Practice address:** 802 MCKINLEY ST, BOLIVAR, PA 15923
- **Practice address phone:** (724) 676-4709
- **Mailing address:** 802 MCKINLEY ST, BOLIVAR, PA 15923-7971
- **Mailing address phone:** (724) 388-3814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2022
- **Last updated:** 02/06/2025