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AMERICAN HEALTH NETWORK OF INDIANA LLC NPI 1609239169


NPI Information

NPI: 1609239169
Provider Name: AMERICAN HEALTH NETWORK OF INDIANA, LLC

Doing Business As: MPI HEALTH CONNECTIONS LOGAN

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 15D2107610

Address:
99 E DEWEY ST
LOGANSPORT, IN
ZIP 46947
Phone: (574) 737-8634
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AMERICAN HEALTH NETWORK OF INDIANA, LLC is a primary care clinic center in Logansport, IN. AMERICAN HEALTH NETWORK OF INDIANA, LLC NPI is 1609239169. The provider is registered as an organization entity type.
The provider Is Doing Business As Mpi Health Connections Logan.

The provider's business location address is:

99 E DEWEY ST
LOGANSPORT, IN
ZIP 46947-933
Phone: (574) 737-8634
Fax: (574) 217-4825

The provider's authorized official is Ben Park .
The authorized official title is President Of Ahn and has the following contact phone number (317) 580-6303.

The CLIA number assigned to this NPI record is 15D2107610 - industrial with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/1/2016 and was last updated on 4/1/2016.


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 License Number License State Primary
1261QP2300XClinic/CenterPrimary Care71000987BINDIANANo
2261QP2300XClinic/CenterPrimary Care01065108AINDIANAYes

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

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