Citizens Health / Barton Annex

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CITIZENS HEALTH / BARTON ANNEX

Practice address

501 N East St
Indianapolis, IN 46204-1632

Phone

(317) 637-3449

Fax

(317) 927-3098

NPI assigned

Jul 17, 2009

Organization subpart

Yes

Parent organization

CITIZENS HEALTH CORPORATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jolene Burtrum, PHD

Title

Chief Executive Officer

Phone

(317) 396-0280

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Citizens Health Corporati

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Citizens Health Corporation

  • Community Health Clinic/Center
  • Indianapolis, IN
  • NPI 1689653982
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1740410281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 N COLLEGE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021715",
            "telephone_number": "317-924-6351",
            "fax_number": "317-927-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N EAST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041632",
            "telephone_number": "317-637-3449",
            "fax_number": "317-927-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS HEALTH / BARTON ANNEX",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITIZENS HEALTH CORPORATION",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "BURTRUM",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "317-396-0280",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100196020B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carter Ciscell, PT, DPT
• Janice Cise, PHD, RN
• Ashlyn Ciszar
• Cita Angels Homecare LLC
• Citadel Home Care Indy LLC
• Citizens Health Corporation
• Citizens Help at Home LLC
• Citizens Transportation LLC
• City of Indianapolis, City Controller
• City of Lawrence

• Federally Qualified Health Center (FQHC) in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Federally Qualified Health Center (FQHC) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.