Provider Demographics
NPI:1922412550
Name:AMERICAN HEALTH NETWORK, INC LLC
Entity Type:Organization
Organization Name:AMERICAN HEALTH NETWORK, INC LLC
Other - Org Name:NEW ALBANY ONCOLOGY/HEMATOLOGY
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BORDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-981-1111
Mailing Address - Street 1:825 UNIVERSITY WOODS DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-2427
Mailing Address - Country:US
Mailing Address - Phone:812-981-1111
Mailing Address - Fax:812-981-3110
Practice Address - Street 1:825 UNIVERSITY WOODS DR
Practice Address - Street 2:SUITE 3
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-2427
Practice Address - Country:US
Practice Address - Phone:812-981-1111
Practice Address - Fax:812-981-3110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INBC0447765332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site