# CITIZENS HEALTH CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CITIZENS HEALTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689653982
- **Authorized official:** MR. RON GIBSON (CEO)
- **Authorized official phone:** (317) 396-0279

## Contact information

- **Practice address:** 1650 N COLLEGE AVE, INDIANAPOLIS, IN 46202-1715
- **Practice address phone:** (317) 924-6351
- **Practice address fax:** (317) 927-3634
- **Mailing address:** 1650 N COLLEGE AVE, INDIANAPOLIS, IN 46202-1715
- **Mailing address phone:** (317) 924-6351
- **Mailing address fax:** (317) 927-3634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | 50000856A | IN | — |
| 3336C0002X | Clinic Pharmacy | 60003640A | IN | — |

## Other

- **Enumeration date:** 01/13/2006
- **Last updated:** 12/27/2012