AHI MEDICAL ADDICTIONS CLINIC, LLC – NPI #1457896896
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

AHI MEDICAL ADDICTIONS CLINIC, LLC is a provider located in MISHAWAKA, IN. NPPES has assigned the NPI number 1457896896 to AHI MEDICAL ADDICTIONS CLINIC, LLC on December 20, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 6 years ago on Sep 01, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AHI MEDICAL ADDICTIONS CLINIC, LLC below.

NPI Profile for
AHI MEDICAL ADDICTIONS CLINIC, LLC

NPI Number
1457896896
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AHI MEDICAL ADDICTIONS CLINIC, LLC
Primary location
3006 LINCOLNWAY E
MISHAWAKA, IN 46544-3501
Phone: (574) 252-7233 Fax: (844) 361-2090
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EMMA WANG
OWNER
Phone: (574) 252-7233
Updated
Certification Date
Aug 31, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)
IN BX2361145
101YA0400X
- Counselor / Addiction (Substance Use Disorder)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.