AMERICAN HEALTH NETWORK OF INDIANA LLC NPI 1932137619

NPI Information

NPI: 1932137619
Provider Name: AMERICAN HEALTH NETWORK OF INDIANA, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 15D0891037

Address:
315 W OLD KEY DR
PERU, IN
ZIP 46970
Phone: (765) 475-6963
Get Directions

AMERICAN HEALTH NETWORK OF INDIANA, LLC is a family medicine in Peru, 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 1932137619. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

315 W OLD KEY DR
PERU, IN
ZIP 46970-057
Phone: (765) 475-6963
Fax: (765) 475-2833

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 15D0891037 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2006 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	207R00000X	Internal Medicine		No
2	207RH0003X	Internal Medicine	Hematology & Oncology	No
3	207V00000X	Obstetrics & Gynecology		No
4	2084N0400X	Psychiatry & Neurology	Neurology	No
5	2085N0904X	Radiology	Nuclear Radiology	No
6	2085R0001X	Radiology	Radiation Oncology	No
7	2085R0202X	Radiology	Diagnostic Radiology	No
8	2085U0001X	Radiology	Diagnostic Ultrasound	No
9	213ES0103X	Podiatrist	Foot & Ankle Surgery	No
10	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	CH0741	MEDICARE PIN
2	0828280021	OTHER	INDIANA	DMERC
3	151520	MEDICARE PIN	INDIANA

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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