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CHC29005-03 PORTER STARKE SERVICES INC (Terminated)
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Main Details
Name
PORTER STARKE SERVICES INC
Subdivision Name
Marram Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027359
340B ID
CHC29005-03
Grant Number
H80CS29005
Additional Details
Current Program Status
Terminated
Registration Date
8/26/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/27/2019
Last Recertification Date
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 160
Gary, IN 46409
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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