MEDICARE: AMERICAN HEALTH NETWORK OF OHIO, LLC

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	227800000X	Certified Respiratory Therapist
2	2278G1100X	General Care Certified Respiratory Therapist
3	363LF0000X	Family Nurse Practitioner
4	207Q00000X	Family Medicine Physician

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1518990787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HEALTH NETWORK OF OHIO, LLC

Provider Business Mailing Address
First Line	:	3823 TRUEMAN CT
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-2496
Country	:	US
Telephone Number	:	614-876-9558
Fax Number	:	614-876-9570

Provider Business Practice Location Address
First Line	:	3823 TRUEMAN COURT
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-2496
Country	:	US
Telephone Number	:	614-876-9558
Fax Number	:	614-876-9570

Authorized Official
Title or Position	:	VP OPERATIONS OHIO
Name	:	MR. BRAD A COURTER
Credential	:
Telephone Number	:	614-794-5053

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	05/25/2022

3845 TRUEMAN CT
HILLIARD, OH
43026-2496

Practice Phone: 614-767-0162
Practice Fax: 614-767-0164

3841 TRUEMAN CT
HILLIARD, OH
43026-2496

Practice Phone: 614-777-4801
Practice Fax:

3855 TRUEMAN CT
HILLIARD, OH
43026-2496