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General NPI Number Information
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NPI Number | 1912810466
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Entity Type | Organization
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Legal Business Name | CENTERSTONE HEALTH SERVICES, INC
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 216 N STATE ST STE A
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City | NORTH VERNON
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State | IN
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Zip | 47265-1453
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Country | US
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Telephone | 812-979-0420
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Fax | 812-314-3671
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Provider Business Mailing Address
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Address Line | 645 S ROGERS ST STE A
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City | BLOOMINGTON
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State | IN
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Zip | 47403-2353
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Country | US
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Telephone | 812-269-5092
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Fax | 812-269-5095
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Authorized Official
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Title or Position | CEO
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Name | JENNIFER HARRISON
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Credential |
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Telephone | 812-350-8249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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