# AMERICAN HEALTH NETWORK OF INDIANA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMERICAN HEALTH NETWORK OF INDIANA, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316354368
- **Legal business name:** AMERICAN HEALTH NETWORK OF INDIANA, LLC
- **Authorized official:** BEN H. PARK M.D. (PRESIDENT AND CEO)
- **Authorized official phone:** (317) 580-6314

## Contact information

- **Practice address:** 775 MANCHESTER AVE STE B, FORD METER BOX - SUPERIOR HEALTH, WABASH, IN 46992-1420
- **Practice address phone:** (260) 569-3757
- **Practice address fax:** (260) 569-3586
- **Mailing address:** 10689 N PENNSYLVANIA ST, SUITE 200, INDIANAPOLIS, IN 46280-1070
- **Mailing address phone:** (317) 580-6307
- **Mailing address fax:** (317) 580-6307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 01031965A | IN | Yes |

## Other

- **Enumeration date:** 07/22/2014
- **Last updated:** 07/22/2014
