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
MARK R BENSON DO (CHIEF PHYSICIAN EXECUTIVE)
(317) 580-6304
Entity
Organization
Contact information
Practice address
13000 N MERIDIAN ST STE 100, CARMEL, IN 46032-1404
(317) 580-1841
(317) 582-1891
Mailing address
13000 N MERIDIAN ST STE 100, CARMEL, IN 46032-1404
(317) 582-1841
(317) 582-1891
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200189840A
—
IN
01
—
690008997
RAILROAD MEDICARE
IN
Enumeration date
02/01/2007
Last updated
03/29/2022
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