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Organization

AMERICAN HEALTH NETWORK OF INDIANA

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 M.D. (PRESIDENT AND CEO)
(317) 580-6314
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
07/22/2014
Last updated
07/22/2014
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