Citizens Health

LBN: Citizens Health Corporation
Citizens Health is an health care organization with primary practice located at 1650 N College Ave , Indianapolis IN 46202-1715. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Clinic Pharmacy. Ambulatory Health Care Facilities / Community Health is the primary health care specialty. Citizens Health Corporation can be contacted via phone (317) 924-6351, or through Gibson, Ron via phone (317) 396-0279.

Contact Information

Primary practice address
1650 N College Ave Indianapolis IN 46202-1715
Phone: (317) 924-6351
Fax: (317) 927-3634
Website:
Map and Directions
Authorized official contact:
Name: Gibson, Ron
Phone: (317) 396-0279

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 50000856A Indiana
Suppliers / Clinic Pharmacy 3336C0002X 60003640A Indiana

Profile Details

NPI number 1689653982
LBN Legal business name Citizens Health Corporation
DBA Doing business as Citizens Health
Authorized official Gibson, Ron
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2006
Last updated Dec 27th, 2012 - about 14 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 1689653982 NPPES
Indiana MEDICAID 100196020B
Indiana Other 1524758
Indiana MEDICAID 100196020A
Indiana MEDICAID 100297090A

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