AMERICAN HEALTH NETWORK OF INDIANA LLC NPI 1639273014

NPI Information

NPI: 1639273014
Provider Name: AMERICAN HEALTH NETWORK OF INDIANA, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 15D0989142

Address:
101 S. LIBERTY STREET
RUSSIAVILLE, IN
ZIP 46979
Phone: (765) 883-2273
Get Directions

AMERICAN HEALTH NETWORK OF INDIANA, LLC is a family medicine in Russiaville, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AMERICAN HEALTH NETWORK OF INDIANA, LLC NPI is 1639273014. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

101 S. LIBERTY STREET
RUSSIAVILLE, IN
ZIP 46979
Phone: (765) 883-2273
Fax: (765) 883-5168

The provider's authorized official is Ben H Park .
The authorized official title is President And Ceo and has the following contact phone number (317) 580-6307.

The CLIA number assigned to this NPI record is 15D0989142 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 1/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207V00000X	Obstetrics & Gynecology		No
2	2085N0904X	Radiology	Nuclear Radiology	No
3	2085R0202X	Radiology	Diagnostic Radiology	No
4	2085U0001X	Radiology	Diagnostic Ultrasound	No
5	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	191630	MEDICARE PIN	INDIANA
2	CK2819	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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