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American Health Network of Indiana, LLC

Organization Active NPI Primary Care Clinic/Center · Logansport, IN

NPI 1609239169 · NPPES record last updated Apr 1, 2016

Key facts

NPI
1609239169
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
License
01065108A (IN)
Legal business name
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Practice address
99 E Dewey St
Logansport, IN 46947-4933
Phone
(574) 737-8634
Fax
(574) 217-4825
NPI assigned
Apr 1, 2016
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 32

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

View all 32

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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
15D2107610American Health Network of Indiana, LLC
99 E Dewey Street, Logansport, IN 46947		Certificate of waiverJan 18, 2028

National Provider Directory

Tax ID family
American Health Network LLC (33 organizations share this tax ID)

Specialties & licenses

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

  • MPI Health Connections Logan Doing business as

Other providers in Logansport, IN

All providers in Logansport, IN · Primary Care Clinic/Center in Indiana

Sources for this page

Verify at the official NPI Registry.