Organization Name:  AMERICAN HEALTH NETWORK OF INDIANA, LLC


Practice Location:
55 BRENDON WAY SUITE 100 ZIONSVILLE, IN 46077 US
Tel: 317-873-6700  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	2085R0202X	Physicians Radiology Diagnostic Radiology
N	213ES0103X	Podiatric Medicine & Surgery Service Providers Podiatrist
N	332B00000X	Suppliers Durable Medical Equipment & Medical Supplies
Y	207Q00000X	Physicians Family Medicine

Other Provider Identifiers:

Issuer	Number	State	Type
DMERC	0828280018	IN	01
	100216850E	IN	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin