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CHC29005-02 PORTER STARKE SERVICES INC (Active)
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Main Details
Name
PORTER STARKE SERVICES INC
Subdivision Name
Marram Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027693
340B ID
CHC29005-02
Grant Number
H80CS29005
Additional Details
Current Program Status
Active
Registration Date
8/26/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/27/2019
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Porter-Starke Services, Inc.
Andrew Nielsen, CFO
(219) 476-4567
Primary Contact
Porter-Starke Services Inc., DBA Marram Health Center
Angelia Hayes, Financial Analyst
(219) 476-1034
Addresses
Street Address
704 S State Road 2
Hebron, IN 46341-8801
Billing Address
Porter Starke Services 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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