| Citizens Health / Barton Annex | |
|
501 N East St Indianapolis IN 46204-1632 | |
| (317) 637-3449 | |
| (317) 927-3098 |
| Full Name | Citizens Health / Barton Annex |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 501 N East St, Indianapolis, Indiana |
| Authorized Official Name and Position | Jolene Burtrum (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3173960280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citizens Health / Barton Annex 1650 N College Ave Indianapolis IN 46202-1715 Ph: (317) 924-6351 | Citizens Health / Barton Annex 501 N East St Indianapolis IN 46204-1632 Ph: (317) 637-3449 |
| NPI Number | 1740410281 |
|---|---|
| Provider Enumeration Date | 07/17/2009 |
| Last Update Date | 07/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740410281 | NPI | - | NPPES |
| 100196020B | Medicaid | IN |
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