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NPI Code Detail

MEDICARE: AMERICAN HEALTH NETWORK OF INDIANA, LLC

MEDICARE: AMERICAN HEALTH NETWORK OF INDIANA, LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2332900000XNon-Pharmacy Dispensing Site

General Provider Information

NPI Number : 1629175021
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN HEALTH NETWORK OF INDIANA, LLC
Provider Business Mailing Address
First Line : 1111 RONALD REAGAN PKWY STE B1500
Second Line :
City : AVON
State : IN
Zip : 46123-7085
Country : US
Telephone Number : 317-217-2244
Fax Number : 317-217-2249
Provider Business Practice Location Address
First Line : 8301 HARCOURT RD STE 205
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2082
Country : US
Telephone Number : 317-228-3393
Fax Number :
Authorized Official
Title or Position : INTERIM CEO/MEDICAL DIRECTOR
Name : MARK BENSON
Credential : DO
Telephone Number : 317-580-6304
Provider Enumeration Date : 09/20/2006
Last Update Date : 06/02/2021

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Directions to “AMERICAN HEALTH NETWORK OF INDIANA, LLC ” Practice Location

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