| Citizens Health | |
|
1650 N College Ave Indianapolis IN 46202-1715 | |
| (317) 924-6351 | |
| (317) 927-3634 |
| Full Name | Citizens Health |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1650 N College Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Ron Gibson (CEO) |
| Authorized Official Contact | 3173960279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citizens Health 1650 N College Ave Indianapolis IN 46202-1715 Ph: (317) 924-6351 | Citizens Health 1650 N College Ave Indianapolis IN 46202-1715 Ph: (317) 924-6351 |
| NPI Number | 1689653982 |
|---|---|
| Provider Enumeration Date | 01/13/2006 |
| Last Update Date | 12/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689653982 | NPI | - | NPPES |
| 100196020B | Medicaid | IN | |
| 100196020A | Medicaid | IN | |
| 100297090A | Medicaid | IN | |
| 1524758 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
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