# 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:** 1558532077
- **Legal business name:** AMERICAN HEALTH NETWORK OF INDIANA, LLC
- **Authorized official:** BEN H PARK MD (PRESIDENT AND CEO)
- **Authorized official phone:** (317) 580-6314

## Contact information

- **Practice address:** 1758 W 100 S, PORTLAND, IN 47371-8204
- **Practice address phone:** (260) 726-7616
- **Mailing address:** 3631 N MORRISON RD, MUNCIE, IN 47304-5547
- **Mailing address phone:** (260) 726-7616

## Taxonomy

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

## Other

- **Enumeration date:** 03/13/2008
- **Last updated:** 03/13/2008