Organization
INDIANA CARE ORGANIZATION, LLC
Active
Other names
American Health Network of Indiana Premier ACO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN PARK MD (PRESIDENT AND CEO)
(317) 580-6314
Entity
Organization
Contact information
Practice address
10689 N PENNSYLVANIA ST STE 200, INDIANAPOLIS, IN 46280-1099
(317) 580-6309
(317) 580-6309
Mailing address
10689 N PENNSYLVANIA ST STE 200, INDIANAPOLIS, IN 46280-1099
(317) 580-6309
(317) 580-6309
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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