AMERICAN HEALTH NETWORK OF INDIANA LLC (NPI# 1154774412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154774412 |
| Entity Type | Organization |
| Organization Name | AMERICAN HEALTH NETWORK OF INDIANA LLC |
| Other Organization Name | MPI HEALTH CONNECTIONS ELLIS |
| Practice Address |
2432 Southeastern Ave Indianapolis IN 46201-4161 |
| Mailing Address |
10333 N Meridian St Ste 230 Indianapolis IN 46290-1144 |
| Practice Telephone | 3176363351 |
| Mailing Telephone | 3175823937 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |
| Authorized Official Name | DR. BEN PARK (PRESIDENT OF AHN) |
| Authorized Official Telephone | 3175806303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
01065108A | IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MPI Health Connections Ellis | Doing Business As Name - Organization |
| Street Address |
2432 SOUTHEASTERN AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46201-4161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457876575 | Alyssia Hawthorne | Contractor | 810 N Bosart, Indianapolis, IN 46201 | 2017-08-09 |
| 1710221833 | Candace D Clayton | Specialist/Technologist | 1500 E. Michigan St, Arsenal Tech West Gym Atr, Indianapolis, IN 46201 | 2012-11-15 |
| 1427211739 | Vanessa Antonie Flora | Physical Therapist | 1001 W 10th Street, Indianapolis, IN 46201 | 2008-07-07 |
| 1194993642 | Steve C. Linville | Counselor | 5049 E. 11th Street, Indianapolis, IN 46201 | 2008-02-19 |
| 1336355023 | Brenda Gay Barker | Family Medicine | 11 N Eastern Avenue, Good Samaritan Health Clinic, Indianapolis, IN 46201 | 2007-05-16 |
| 1447541347 | Kimberly Denise Wolfe | Registered Nurse | 1776 Brookside Ave, Indianapolis, IN 46201-1018 | 2011-04-26 |
| 1235645318 | Armaryllis Y Lewis | Counselor | 1402 Commerce Ave, Indianapolis, IN 46201-1141 | 2017-12-27 |
| 1184160608 | Sarah Ann Battista | Registered Nurse | 1250 N State Ave, Indianapolis, IN 46201-1162 | 2017-01-07 |
| 1821330234 | Kindra Marie Hunckler | Doula | 1115 N Tacoma Ave, Indianapolis, IN 46201-1334 | 2013-03-24 |
| 1497279897 | Timothy Barnes | Respite Care | 1406 N Dearborn St, Indianapolis, IN 46201-1412 | 2017-07-28 |
| Find all providers in zip 46201 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777824 | Activate Healthcare - Mcoe Clinic | Clinic/Center | 6920 Parkdale Pl Ste 100, Indianapolis, IN 46254-5604 | 2019-08-27 |
| 1033777370 | Prime Movement Healthcare | Clinic/Center | 55 Monument Cir Fl 7, Indianapolis, IN 46204-2910 | 2019-06-02 |
| 1720646235 | Pmr Healthcare | Clinic/Center | 6404 Turner Dr Ste 100, Indianapolis, IN 46241-4906 | 2019-05-30 |
| 1598231896 | Ourhealth Physician Group, LLC | Clinic/Center | 3308 N Mitthoefer Rd, Indianapolis, IN 46235-2332 | 2018-10-15 |
| 1548743552 | Wellness for Life | Clinic/Center | 6448 W Ohio St, Indianapolis, IN 46214-3973 | 2018-09-14 |
| 1467970269 | Activate Healthcare - Mep Clinic | Clinic/Center | 2350 N Shadeland Ave, Indianapolis, IN 46219-1736 | 2017-09-01 |
| 1386190254 | Ourhealth Physicians Group, LLC | Clinic/Center | 5630 W 86th St, Suite 150, Indianapolis, IN 46278-2017 | 2016-08-30 |
| 1366995482 | Ourhealth Physicians Group, LLC | Clinic/Center | 4161 E 96th St, Suite 100, Indianapolis, IN 46240-1442 | 2016-07-25 |
| 1508319625 | Ourhealth Physicians Group, LLC | Clinic/Center | 155 W Washington St, Suite 155, Indianapolis, IN 46204-3483 | 2016-07-25 |
| 1538514344 | Adult and Child Mental Health Center Inc | Clinic/Center | 222 E Ohio St Ste 100, Indianapolis, IN 46204-2193 | 2016-04-29 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46201 |
Please comment or provide details below to improve the information on AMERICAN HEALTH NETWORK OF INDIANA LLC.
| 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.