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Organization

AMERICAN HEALTH NETWORK OF INDIANA, LLC

Active
Other names
MPI Health Connections Logan
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BEN PARK M.D. (PRESIDENT OF AHN)
(317) 580-6303
Entity
Organization

Contact information

Practice address
99 E DEWEY ST, LOGANSPORT, IN 46947-4933
(574) 737-8634
(574) 217-4825
Mailing address
10333 N MERIDIAN ST, SUITE 230, INDIANAPOLIS, IN 46290-1150
(317) 582-3937
(317) 582-3937

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
01065108A
IN
261QP2300X
Primary Care Clinic/Center
71000987B
IN

Other

Enumeration date
04/01/2016
Last updated
04/01/2016
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