# AMERICAN HEALTH NETWORK OF INDIANA, LLC

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

## Provider details

- **NPI number:** 1427162692
- **Legal business name:** AMERICAN HEALTH NETWORK OF INDIANA, LLC
- **Authorized official:** BEN H PARK MD (PRESIDENT AND CEO)
- **Authorized official phone:** (317) 580-6307

## Contact information

- **Practice address:** 55 BRENDON WAY, SUITE 100, ZIONSVILLE, IN 46077-1961
- **Practice address phone:** (317) 873-6700
- **Practice address fax:** (317) 873-8200
- **Mailing address:** 4850 CENTURY PLAZA RD, SUITE 180, INDIANAPOLIS, IN 46254-5476
- **Mailing address phone:** (317) 873-6700
- **Mailing address fax:** (317) 873-8200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 06/22/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0828280018 | DMERC | IN |
| 05 | — | 100216850E | — | IN |