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American Health Network of Indiana, LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Charlestown, IN

NPI 1306459011 · NPPES record last updated Sep 3, 2020

Key facts

NPI
1306459011
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Practice address
2300 Market St
Charlestown, IN 47111-9810
Phone
(844) 424-3668
Fax
(317) 575-6909
NPI assigned
Aug 24, 2020
Organization subpart
No

Authorized official

Name
Ben H Park, MD
Title
President/Ceo
Phone
(317) 580-6309

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1086804American Health Network of Indiana, LLC
2300 Market Street, Charlestown, IN 47111		Certificate of waiverMay 31, 2027

National Provider Directory

Locations

2300 Market St
Charlestown, IN 47111
Phone (812) 256-1106

Specialties & licenses

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

Addresses

Primary practice location

2300 Market St
Charlestown, IN 47111-9810

Mailing address

2300 Market St
Charlestown, IN 47111-9810
Phone (844) 424-3668

Other providers in Charlestown, IN

All providers in Charlestown, IN · Durable Medical Equipment & Medical Supplies in Indiana

Sources for this page

Verify at the official NPI Registry.