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Contact Information

AHI MEDICAL ADDICTIONS CLINIC, LLC
3006 LINCOLNWAY E
MISHAWAKA, IN46544-3501
 Phone: 574-252-7233
 Fax: 844-361-2090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207QA0401X 08 Physician/Family Practice
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for AHI MEDICAL ADDICTIONS CLINIC, LLC

NPI # 1457896896
LBN Legal business name AHI MEDICAL ADDICTIONS CLINIC, LLC
Authorized official EMMA WANG - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2016
Last updated 09/01/2020 - About 6 years ago
Identifiers
IN License # BX2361145
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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