CITIZENS HEALTH CORPORATION NPI 1689653982

NPI Information

NPI: 1689653982
Provider Name: CITIZENS HEALTH CORPORATION

Doing Business As: CITIZENS HEALTH

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
1650 N COLLEGE AVE
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 924-6351
Get Directions

CITIZENS HEALTH CORPORATION is a community health clinic center in Indianapolis, IN. CITIZENS HEALTH CORPORATION NPI is 1689653982. The provider is registered as an organization entity type.
The provider Is Doing Business As Citizens Health.

The provider's business location address is:

1650 N COLLEGE AVE
INDIANAPOLIS, IN
ZIP 46202-715
Phone: (317) 924-6351
Fax: (317) 927-3634

The provider's authorized official is Ron Gibson .
The authorized official title is Ceo and has the following contact phone number (317) 396-0279.

The enumeration date for this NPI number is 1/13/2006 and was last updated on 12/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	50000856A	INDIANA	No
2	3336C0002X	Pharmacy	Clinic Pharmacy	60003640A	INDIANA	No
3	261QC1500X	Clinic/Center	Community Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100297090A	MEDICAID	INDIANA
2	1524758	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER
3	100196020A	MEDICAID	INDIANA
4	100196020B	MEDICAID	INDIANA
5	151837	MEDICARE OSCAR/CERTIFICATION	INDIANA
6	113810	MEDICARE OSCAR/CERTIFICATION	INDIANA
7	151812	MEDICARE OSCAR/CERTIFICATION	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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