NPIMap

Organization Active NPI

American Health Network of Indiana, LLC

Doing business as MPI Health Connections Logan

  • Primary Care Clinic/Center
  • Logansport, IN
National Provider Identifier
1609239169
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
01065108A Issued in IN
Legal business name
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Doing business as
MPI Health Connections Logan
Practice address
99 E Dewey St
Logansport, IN 46947-4933
Phone
(574) 737-8634
Fax
(574) 217-4825
NPI assigned
Apr 1, 2016
Last updated
Apr 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Dr. Ben Park, M.D.
Title
President of Ahn
Phone
(317) 580-6303

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 01065108A IN Primary
Primary Care Clinic/Center 261QP2300X 71000987B IN

Addresses

Primary practice location

99 E Dewey St
Logansport, IN 46947-4933

Mailing address

10333 N Meridian St
Suite 230
Indianapolis, IN 46290-1150
Phone (317) 582-3937

Other names 1

  • MPI Health Connections Logan Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2107610American Health Network of Indiana, LLC99 E Dewey Street, Logansport, IN 46947Certificate of waiverJan 18, 2028

National Provider Directory

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

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": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1609239169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 N MERIDIAN ST",
            "address_2": "SUITE 230",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901150",
            "telephone_number": "317-582-3937",
            "fax_number": "317-582-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E DEWEY ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469474933",
            "telephone_number": "574-737-8634",
            "fax_number": "574-217-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTH NETWORK OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "PRESIDENT OF AHN",
        "authorized_official_telephone_number": "317-580-6303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "01065108A",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "71000987B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MPI Health Connections Logan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logansport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.