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FQHCLA419B Centerstone Health Services, Inc. (Active)
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Main Details
Name
Centerstone Health Services, Inc.
Subdivision Name
Centerstone Health Services - Columbus
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-032426
340B ID
FQHCLA419B
Grant Number
LALCS40181
Additional Details
Current Program Status
Active
Registration Date
9/9/2021
Participating Start Date
9/10/2021
Participating Approval Date
9/10/2021
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
720 N Marr Rd Ste A
Columbus, IN 47201-6660
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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