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) 580-6314
Entity
Organization
Contact information
Practice address
11725 ILLINOIS STREET, SUITE 245, CARMEL, IN 46032
(317) 249-2703
(317) 249-2708
Mailing address
11725 ILLINOIS STREET, SUITE 245, CARMEL, IN 46032
(317) 249-2703
(317) 249-2708
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0828280032
DMERC
IN
Enumeration date
10/04/2006
Last updated
06/22/2017
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