Citizens Health / Barton Annex

LBN: Citizens Health / Barton Annex
Citizens Health / Barton Annex is an health care organization with primary practice located at 501 N East St , Indianapolis IN 46204-1632. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Citizens Health / Barton Annex can be contacted via phone (317) 637-3449, or through Burtrum, Jolene via phone (317) 396-0280.

Contact Information

Primary practice address
501 N East St Indianapolis IN 46204-1632
Phone: (317) 637-3449
Fax: (317) 927-3098
Website:
Map and Directions
Authorized official contact:
Name: Burtrum, Jolene PHD
Phone: (317) 396-0280

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1740410281
LBN Legal business name Citizens Health / Barton Annex
DBA Doing business as
Authorized official Burtrum, Jolene PHD
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 17th, 2009
Last updated Jul 20th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740410281 NPPES
Indiana MEDICAID 100196020B

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