Organization
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Active
Parent organization
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Authorized official
BEN H PARK MD (PRESIDENT AND CEO)
(317) 580-6307
Entity
Organization
Contact information
Practice address
8244 US 36, SUITE 1340, AVON, IN 46123
(317) 272-4242
(317) 272-6640
Mailing address
5250 EAST US 36, SUITE 610, AVON, IN 46123
(317) 272-4242
(317) 272-6640
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0828280020
DMERC
IN
Enumeration date
10/04/2006
Last updated
06/22/2017
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