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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689653982 | NPPES |
| Indiana | MEDICAID | 100196020B | |
| Indiana | Other | 1524758 | |
| Indiana | MEDICAID | 100196020A | |
| Indiana | MEDICAID | 100297090A |
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