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AMERICAN HEALTH NETWORK OF OHIO LLC NPI 1336188861


NPI Information

NPI: 1336188861
Provider Name: AMERICAN HEALTH NETWORK OF OHIO, LLC

Other Name: AMERICAN HEALTH NETWORK OF OHIO PROFESSIONAL CORPORATION

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D0689596

Address:
4072 GANTZ RD
GROVE CITY, OH
ZIP 43123
Phone: (614) 875-0011
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AMERICAN HEALTH NETWORK OF OHIO, LLC is a family medicine in Grove City, OH. The provider is 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. AMERICAN HEALTH NETWORK OF OHIO, LLC NPI is 1336188861. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is American Health Network Of Ohio Professional Corporation.

The provider's business location address is:

4072 GANTZ RD
GROVE CITY, OH
ZIP 43123-816
Phone: (614) 875-0011
Fax: (614) 875-0736

The provider's authorized official is Brad A Courter .
The authorized official title is Vp Operations Ohio and has the following contact phone number (614) 794-5053.

The CLIA number assigned to this NPI record is 36D0689596 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 7/21/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1227900000XRespiratory Therapist, RegisteredNo
2363LF0000XNurse PractitionerFamilyNo
3207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10153079MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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