1548142987 NPI number — AMERICAN HEALTH NETWORK OF OHIO, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548142987 NPI number — AMERICAN HEALTH NETWORK OF OHIO, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN HEALTH NETWORK OF OHIO, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548142987
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/13/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3825 TRUEMAN CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HILLIARD
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43026-2496
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-794-4500
Provider Business Mailing Address Fax Number:
614-794-4976

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
680 BUCKLES CT N STE 1A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43230-6928
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-986-0125
Provider Business Practice Location Address Fax Number:
614-237-1646
Provider Enumeration Date:
07/25/2025

Additional Information

Authorized Official

Authorized Official Last Name:
COURTER
Authorized Official First Name:
BRAD
Authorized Official Middle Name:
ALAN
Authorized Official Title or Position:
SR. VP CLINICAL OPERATIONS IN/OH
Authorized Official Telephone Number:
614-794-5053

Provider Taxonomy Codes

  • Taxonomy code: 261QR0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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