American Health Network Of Indiana LLC
Clinic/Center, Primary Care in Indianapolis, IN. Organization (NPI-2).
NPI number1154774412
StatusActive
Last updated in NPPESJul 21, 2016
Details
- NPI
- 1154774412
- Entity type
- Organization (NPI-2)
- Legal business name
- American Health Network Of Indiana LLC
- Organization subpart
- No
- Enumeration date
- Jul 21, 2016
- Last updated
- Jul 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 01065108A | IN | Yes |
Other names
- Mpi Health Connections Ellis (Doing Business As)
Practice location
2432 Southeastern AveIndianapolis, IN 46201-4161
Phone 317-636-3351
Mailing address
10333 N Meridian St Ste 230Indianapolis, IN 46290-1144
Phone 317-582-3937
Authorized official
Ben Park
President Of Ahn
3175806303
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