Organization Name: | AMERICAN HEALTH NETWORK OF INDIANA, LLC |
NPI Number: | 1588759435 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BEN H PARK (PRESIDENT AND CEO) |
Mailing Address: | 504 W. Camp Street Lebanon |
State: | IN US |
Postal Code: | 46052 |
Phone Number: | 7654827005 |
Fax Number: | 7654833021 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 03/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |