Organization Name: | AMERICAN HEALTH NETWORK OF INDIANA, LLC |
NPI Number: | 1629175021 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BEN H PARK (PRESIDENT AND CEO) |
Mailing Address: | 1111 Ronald Reagan Pkwy Suite B1600 Avon |
State: | IN US |
Postal Code: | 461237085 |
Phone Number: | 3172172244 |
Fax Number: | 3172172249 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 03/13/2012 |
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 |