NPIMap

Organization Active NPI

American Health Network of Indiana, LLC

  • Durable Medical Equipment & Medical Supplies
  • Muncie, IN
National Provider Identifier
1104170752
Registry record updated Jun 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Practice address
1107 S Tillotson Ave
Suite 1
Muncie, IN 47304-4517
Phone
(765) 213-3024
Fax
(765) 282-9303
NPI assigned
Nov 5, 2012
Last updated
Jun 22, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICAN HEALTH NETWORK OF INDIANA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ben H Park, MD
Title
President and Ceo
Phone
(317) 580-6314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1107 S Tillotson Ave
Suite 1
Muncie, IN 47304-4517

Mailing address

1107 S Tillotson Ave
Suite 1
Muncie, IN 47304-4517
Phone (765) 213-3024

National Provider Directory

National Provider Directory
Tax ID family
American Health Network of Indiana33 organizations share this tax ID, including this one
Part of
American Health Network of Indiana

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498089600000",
    "number": "1104170752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S TILLOTSON AVE",
            "address_2": "SUITE 1",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044517",
            "telephone_number": "765-213-3024",
            "fax_number": "765-282-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S TILLOTSON AVE",
            "address_2": "SUITE 1",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044517",
            "telephone_number": "765-213-3024",
            "fax_number": "765-282-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTH NETWORK OF INDIANA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN HEALTH NETWORK OF INDIANA, LLC",
        "enumeration_date": "2012-11-05",
        "last_updated": "2017-06-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "317-580-6314",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.