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FQHCLA419C CENTERSTONE HEALTH SERVICES INC (Active)
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Main Details
Name
CENTERSTONE HEALTH SERVICES INC
Subdivision Name
Centerstone Health Services - Richmond
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-036807
340B ID
FQHCLA419C
Grant Number
LALCS40181
Additional Details
Current Program Status
Active
Registration Date
4/4/2023
Participating Start Date
4/7/2023
Participating Approval Date
4/5/2023
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
831 Dillon Dr STE A
Richmond, IN 47374-8048
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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