Organization · NPI-2

American Health Network Of Indiana, LLC

Family Medicine · Peru, IN

NPI number1932137619

StatusActive

Last updated in NPPESJan 9, 2008

Details

NPI: 1932137619
Entity type: Organization (NPI-2)
Legal business name: American Health Network Of Indiana, LLC
Organization subpart: Yes
Enumeration date: Jun 29, 2006
Last updated: Jan 9, 2008

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
207R00000X	Internal Medicine	–	–
207RH0003X	Internal Medicine, Hematology & Oncology	–	–
207V00000X	Obstetrics & Gynecology	–	–
2084N0400X	Psychiatry & Neurology, Neurology	–	–
2085N0904X		–	–
2085R0001X		–	–
2085R0202X	Radiology, Diagnostic Radiology	–	–
2085U0001X	Radiology, Diagnostic Ultrasound	–	–
213ES0103X	Podiatrist, Foot & Ankle Surgery	–	–

Practice location

315 W Old Key Dr
Peru, IN 46970-9057

Phone 765-475-6963 · Fax 765-475-2833

Mailing address

315 W Old Key Dr
Peru, IN 46970-9057

Phone 765-475-6963 · Fax 765-475-2833

Authorized official

Ben H. Park
President And Ceo
3175806307

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