AMERICAN HEALTH NETWORK OF INDIANA, LLC
NPI 1639273014
Family Medicine in Russiaville, IN

Active since September 07, 2006CLIA 15D0989142 · Waiver
101 S. LIBERTY STREET, RUSSIAVILLE, IN 46979(765) 883-2273(765) 883-5168 Get Directions Write a Review

NPPES record last updated: January 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About American Health Network Of Indiana, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMERICAN HEALTH NETWORK OF INDIANA, LLC (NPI 1639273014) is a healthcare organization registered as a family medicine in Russiaville, Indiana and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 4, 2026 and lists Ben H Park, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1639273014
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAMERICAN HEALTH NETWORK OF INDIANA, LLC
Location Address101 S. LIBERTY STREETRussiaville, IN 46979
Mailing AddressPo Box 400Russiaville, IN 46979-0400 · (765) 883-2273 · Fax (765) 883-5168
Fax(765) 883-5168
Organization SubpartYes
Authorized OfficialBen H ParkPresident And Ceo · (317) 580-6307
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJanuary 9, 2008
NPI 1639273014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X
101 S. LIBERTY STREET, Russiaville, IN 46979

Other Identifiers 2

Medicare PIN191630IN
Medicare PINCK2819

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0989142

American Health Network Of In, LLC · Russiaville, IN
Active · expires Oct 4, 2026
CLIA Number15D0989142
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2024
Certificate Expiration DateOctober 4, 2026
Laboratory DirectorSherri Nuss
Laboratory Phone(765) 883-2273
Laboratory LocationAmerican Health Network Of In, LLC3309 S 750 W, Russiaville, IN 46979
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
101 S. LIBERTY STREET
RUSSIAVILLE, IN 46979

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is American Health Network Of Indiana, LLC's NPI number?

The NPI number for American Health Network Of Indiana, LLC is 1639273014. It was assigned to this organization in the NPPES registry on September 7, 2006.

Where is American Health Network Of Indiana, LLC located?

American Health Network Of Indiana, LLC is located at 101 S. Liberty Street, Russiaville, IN 46979. The listed phone number is (765) 883-2273.

What is American Health Network Of Indiana, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does American Health Network Of Indiana, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0989142) is associated with this NPI, valid through October 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for American Health Network Of Indiana, LLC was last updated on January 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.