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CHC29005-00 PORTER STARKE SERVICES INC (Terminated)
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Main Details
Name
PORTER STARKE SERVICES INC
Subdivision Name
Porter Starke Services Inc DBA Marram Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-016825
340B ID
CHC29005-00
Grant Number
H80CS29005
Additional Details
Current Program Status
Terminated
Registration Date
1/4/2016
Participating Start Date
4/1/2016
Participating Approval Date
1/6/2016
Last Recertification Date
1/29/2019
Termination Date
Termination Reason
1/1/2020
Site closure
Contacts
Authorizing Official
Porter Starke Services
Aileen Wehren, VP Systems Administration
(219) 476-4567
Primary Contact
Porter-Starke Services Inc. DBA Marram Health Center
Carol Michna, Financial Analyst
(219) 476-4696
Addresses
Street Address
3229 Broadway Ste 205
Gary, IN 46409
Billing Address
Porter-Starke Services DBA Marram Health Center
601 Wall ST.
Valparaiso, IN 46383
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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