| NPI | 1689653982 |
|---|---|
| Doing Business As | CITIZENS HEALTH |
| Entity Type | Organization |
| Authorized Contact | RON GIBSON CEO 317-396-0279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: IN 50000856A) |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: IN 60003640A) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2012-12-27 |