NPI: 1497305791
Provider Name: CENTERSTONE HEALTH SERVICES, INC
Doing Business As: CENTERSTONE HEALTH SERVICES, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
645 S ROGERS ST
BLOOMINGTON, IN
ZIP 47403
Phone: (765) 377-1205
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CENTERSTONE HEALTH SERVICES, INC is a federally qualified health center (fqhc) clinic center in Bloomington, IN. CENTERSTONE HEALTH SERVICES, INC NPI is 1497305791. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Centerstone Health Services, Inc..
The provider's business location address is:
645 S ROGERS ST
BLOOMINGTON, IN
ZIP 47403-353
Phone: (765) 377-1205
The provider's authorized official is Robert Siegmann .
The authorized official title is Executive Director and has the following contact phone number (765) 377-1205.
The enumeration date for this NPI number is 9/18/2019 and was last updated on 1/6/2022.