Organization
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN H PARK MD (PRESIDENT AND CEO)
(317) 580-6314
Entity
Organization
Contact information
Practice address
9024 S COUNTY ROAD 800 W, DALEVILLE, IN 47334-9420
(765) 213-6390
(765) 213-6395
Mailing address
9024 S COUNTY ROAD 800 W, DALEVILLE, IN 47334-9420
(765) 213-6390
(765) 213-6395
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/22/2013
Last updated
06/22/2017
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