AMERICAN HEALTH NETWORK OF INDIANA, LLC (NPI# 1104170752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104170752 |
| Entity Type | Organization |
| Organization Name | AMERICAN HEALTH NETWORK OF INDIANA, LLC |
| Practice Address |
1107 S Tillotson Ave Suite 1 Muncie IN 47304-4517 |
| Practice Telephone | 7652133024 |
| Practice Fax Number | 7652829303 |
| Mailing Telephone | 7652133024 |
| Mailing Fax Number | 7652829303 |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2017-06-22 |
| Authorized Official Name | BEN H PARK (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3175806314 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERICAN HEALTH NETWORK OF INDIANA, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1477970440 | American Health Network of Indiana, LLC | Clinic/Center | 2625 N Morton St, Kyb Health and Wellness Clinic, Franklin, IN 46131-8820 | 2014-03-27 |
| 1659582120 | American Health Network of Indiana, LLC | Internal Medicine | 1828 N Illinois St, Indianapolis, IN 46202-1318 | 2007-05-25 |
| 1831236272 | American Health Network of Indiana, LLC | Family Medicine | 10689 N Pennsylvania St, Suite 200, Indianapolis, IN 46280-1070 | 2007-02-01 |
| 1770621161 | American Health Network of Indiana, LLC | Clinical Medical Laboratory | 12188b N Meridian St Ste 350, Carmel, IN 46032-4900 | 2007-02-01 |
| 1730266024 | American Health Network of Indiana, LLC | Internal Medicine | 1101 O Connor Blvd, Monticello, IN 47960-1666 | 2006-11-01 |
| 1114012051 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 8244 Us 36, Suite 1340, Avon, IN 46123 | 2006-10-04 |
| 1902991854 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 300 E. Boyd, Suite 100, Greenfield, IN 46140 | 2006-10-04 |
| 1588759435 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 1310 S Lebanon St, Lebanon, IN 46052-2792 | 2006-10-04 |
| 1235224189 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 15229 Us 31 North, Westfield, IN 46074 | 2006-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | AMERICAN HEALTH NETWORK OF INDIANA, LLC | 10689 N. Pennsylvania Street, #200, Indianapolis, IN 46280 |
| Street Address |
1107 S TILLOTSON AVE SUITE 1 |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043252398 | Physical Medicine & Rehabilitation of East Central Indiana, PC | Physical Medicine & Rehabilitation | 1107 S Tillotson Ave, Suite 1, Muncie, IN 47304-4517 | 2006-06-12 |
| 1063428217 | Central Indiana Physical Medicine & Rehab | Physical Medicine & Rehabilitation | 1107 S Tillotson Ave, Ste 1, Muncie, IN 47304-4517 | 2006-07-31 |
| 1194768549 | Miriam Lela Ibrahim | Physical Medicine & Rehabilitation | 1107 S Tillotson Ave, Ste 1, Muncie, IN 47304-4517 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992369912 | Roxanne L Lukenbill | Durable Medical Equipment & Medical Supplies | 702 S Nichols Ave Ste 203, Muncie, IN 47303-5200 | 2019-04-24 |
| 1700386521 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 715 S Tillotson Ave, Muncie, IN 47304-4526 | 2018-02-19 |
| 1255845871 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1500 W Mcgalliard Rd, Muncie, IN 47304-2203 | 2017-11-17 |
| 1265665376 | Hospice Express, Inc | Durable Medical Equipment & Medical Supplies | 225 W Ontario Dr, Muncie, IN 47303-6401 | 2009-08-24 |
| 1942303383 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 3310 E Jackson St, Muncie, IN 47303-5170 | 2006-09-07 |
| 1356444871 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 201 South Tillotson Ave, Muncie, IN 47304-4636 | 2006-09-07 |
| 1306851449 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2720 W Jackson St, Muncie, IN 47303-4635 | 2006-07-29 |
| 1124033261 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 400 E Memorial Dr, Muncie, IN 47302-4072 | 2006-07-29 |
| 1699797316 | Hook-superx LLC | Durable Medical Equipment & Medical Supplies | 3601 N Barr St, Muncie, IN 47303-1246 | 2006-07-24 |
| 1720070022 | Central Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 4501 W Williamsburg Blvd, Muncie, IN 47304-5530 | 2005-08-22 |
| Find all providers in MUNCIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.