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FQHCLA419A Centerstone Health Services, Inc. (Active)
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Main Details
Name
Centerstone Health Services, Inc.
Subdivision Name
Centerstone Health Services
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-031792
340B ID
FQHCLA419A
Grant Number
LALCS40181
Additional Details
Current Program Status
Active
Registration Date
1/8/2021
Participating Start Date
4/1/2021
Participating Approval Date
3/5/2021
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Centerstone Health Services, Inc.
Jennifer Harrison, CEO
(812) 350-8249
Primary Contact
Centerstone Health Services
Kara Raylene Gray, 340B Data Analyst
(812) 525-8460
Addresses
Street Address
645 S Rogers St
Bloomington, IN 47403-2353
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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