INDIANA CARE ORGANIZATION LLC NPI 1619458940

NPI Information

  • NPI: 1619458940
  • Provider Name: INDIANA CARE ORGANIZATION, LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Other Name: AMERICAN HEALTH NETWORK OF INDIANA PREMIER ACO
  • Address: 10689 N PENNSYLVANIA ST STE 200
    INDIANAPOLIS, IN
    ZIP 46280
  • Phone: (317) 580-6309

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NPI Details

INDIANA CARE ORGANIZATION, LLC is a clinic center in Indianapolis, IN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). INDIANA CARE ORGANIZATION, LLC NPI is 1619458940. The provider is registered as an organization entity type.
The provider Other Name Is American Health Network Of Indiana Premier Aco.

The provider's business location address is:

10689 N PENNSYLVANIA ST STE 200
INDIANAPOLIS, IN
ZIP 46280-099
Phone: (317) 580-6309
Fax: (317) 580-6309

The provider's authorized official is Ben Park .
The authorized official title is President And Ceo and has the following contact phone number (317) 580-6314.

The enumeration date for this NPI number is 8/24/2018 and was last updated on 8/24/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

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: 11/21/2025

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