NPI 1285745067 · live from the CMS NPI Registry
American Health Network Of Indiana, LLC
Family Medicine in Wabash, IN. National Provider Identifier 1285745067, active.
NPI record
| NPI | 1285745067 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 276 Manchester Ave, Wabash, IN 46992 |
| Practice phone | 260-563-2126 |
| Mailing address | 315 W Old Key Dr, Peru, IN 46970 |
| Enumerated | August 31, 2006 |
| Last updated | June 22, 2017 |
| Authorized official | Ben Park, President And Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| 2085N0904X | — | |
| Radiology, Diagnostic Radiology | 2085R0202X | — |
| Radiology, Diagnostic Ultrasound | 2085U0001X | — |
| Surgery | 208600000X | — |
| 208VP0000X | — | |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | — |
| Internal Medicine | 207R00000X | — |
| Internal Medicine, Hematology & Oncology | 207RH0003X | — |
| Obstetrics & Gynecology | 207V00000X | — |
| Orthopaedic Surgery | 207X00000X | — |
| Physical Medicine & Rehabilitation | 208100000X | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — |
| Psychiatry & Neurology, Pain Medicine | 2084P2900X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.