| Centerstone Health Services, Inc. | |
|
390 Erie Ave Ste A Connersville IN 47331-3177 | |
| (765) 377-1205 | |
| (765) 377-1209 |
| Full Name | Centerstone Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 390 Erie Ave Ste A, Connersville, Indiana |
| Authorized Official Name and Position | Jenny Harrison (CEO) |
| Authorized Official Contact | 8123508249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerstone Health Services, Inc. 645 S Rogers St Bloomington IN 47403-2353 Ph: (765) 377-1205 | Centerstone Health Services, Inc. 390 Erie Ave Ste A Connersville IN 47331-3177 Ph: (765) 377-1205 |
| NPI Number | 1518528579 |
|---|---|
| Provider Enumeration Date | 06/21/2019 |
| Last Update Date | 03/11/2024 |
| Medicare PECOS PAC ID | 1850497173 |
|---|---|
| Medicare Enrollment ID | O20070504000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518528579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Benjamin R Sklar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588636963 PECOS PAC ID: 6204808074 Enrollment ID: I20040811000959 |
| Provider Name | Thelma L Young-bolden |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316910367 PECOS PAC ID: 7719939438 Enrollment ID: I20050210000584 |
| Provider Name | Mark S Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033221692 PECOS PAC ID: 2668429911 Enrollment ID: I20050407001097 |
| Provider Name | Nidavanh Klopfenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275694911 PECOS PAC ID: 4082654256 Enrollment ID: I20050506000230 |
| Provider Name | Anne Mary Leach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780661918 PECOS PAC ID: 0547284085 Enrollment ID: I20060123000902 |
| Provider Name | Stephanie L Estell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134192271 PECOS PAC ID: 3072529957 Enrollment ID: I20060301000750 |
| Provider Name | Jacqueline S Trueblood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356305577 PECOS PAC ID: 4880662683 Enrollment ID: I20060424000590 |
| Provider Name | Katherine M Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659315315 PECOS PAC ID: 4789775149 Enrollment ID: I20070814000653 |
| Provider Name | Lia R Kettenis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346459146 PECOS PAC ID: 7416041629 Enrollment ID: I20070919000477 |
| Provider Name | Vinita S Watts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760454839 PECOS PAC ID: 1759446677 Enrollment ID: I20090210000178 |
| Provider Name | Sheila R Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891706941 PECOS PAC ID: 4789724923 Enrollment ID: I20091218000058 |
| Provider Name | Janet D Gray |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1497765218 PECOS PAC ID: 0648310839 Enrollment ID: I20100810000375 |
| Provider Name | Ursula S Mccormick |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1689658874 PECOS PAC ID: 0345366068 Enrollment ID: I20100929001655 |
| Provider Name | Joel H Griffith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194747618 PECOS PAC ID: 5890976096 Enrollment ID: I20110222000167 |
| Provider Name | Bridget V Rund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528376779 PECOS PAC ID: 2860647021 Enrollment ID: I20130220000045 |
| Provider Name | Joanna L Reisert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962742072 PECOS PAC ID: 8921244492 Enrollment ID: I20130429000648 |
| Provider Name | Paul S Taraska |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912137290 PECOS PAC ID: 3971744814 Enrollment ID: I20130718000764 |
| Provider Name | Patricia M Rubino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265688055 PECOS PAC ID: 4981843679 Enrollment ID: I20140513002121 |
| Provider Name | Nishanie Gunawardane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235440082 PECOS PAC ID: 4486969003 Enrollment ID: I20150811005724 |
| Provider Name | Angela R Witzmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215971833 PECOS PAC ID: 1254578115 Enrollment ID: I20151229002664 |
| Provider Name | Lauren C Lutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417407743 PECOS PAC ID: 2668752437 Enrollment ID: I20161213002279 |
| Provider Name | Courtney Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801319231 PECOS PAC ID: 2264705029 Enrollment ID: I20170830002751 |
| Provider Name | Archana Barry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609878545 PECOS PAC ID: 3173411337 Enrollment ID: I20180628001231 |
| Provider Name | Terence Grogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427163492 PECOS PAC ID: 0648284323 Enrollment ID: I20180706001288 |
| Provider Name | Sarah Donaldson-vargha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780091512 PECOS PAC ID: 1759501109 Enrollment ID: I20180824001323 |
| Provider Name | Daniel A Pietras |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912346123 PECOS PAC ID: 1153548938 Enrollment ID: I20180928000022 |
| Provider Name | Ruth L Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659845139 PECOS PAC ID: 4880933027 Enrollment ID: I20190305002116 |
| Provider Name | Shaleni A Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659978591 PECOS PAC ID: 3072925478 Enrollment ID: I20201208002902 |
| Provider Name | Heather Marie Blue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306427331 PECOS PAC ID: 3971907908 Enrollment ID: I20210812001024 |
| Provider Name | Katie N Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366180564 PECOS PAC ID: 7911386933 Enrollment ID: I20220622002499 |
| Provider Name | Alison Claire Sander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104264126 PECOS PAC ID: 9133505563 Enrollment ID: I20221007001381 |
| Provider Name | Diane Kaye Hirtzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083879449 PECOS PAC ID: 4385017151 Enrollment ID: I20230224001912 |
| Provider Name | Kami Grimes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215905187 PECOS PAC ID: 4587015888 Enrollment ID: I20240111001497 |
| Provider Name | Jesse Martin Herrman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154198562 PECOS PAC ID: 8022460369 Enrollment ID: I20240123000428 |
Skinsations Dermatherapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 746 Northside Ct, Connersville, IN 47331 Phone: 765-377-7039 Fax: 765-377-7189 | |
S. Aurora Gardner, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1473 E State Road 44 Ste 4, Connersville, IN 47331 Phone: 765-827-6612 Fax: 765-827-6910 | |
Skinsations Dermatherapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 746 Northside Ct, Connersville, IN 47331 Phone: 765-377-7039 | |
Grogan Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3024 Ohio Ave, Connersville, IN 47331 Phone: 765-222-1400 Fax: 866-873-8524 | |
Fayette County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Central Ave, Connersville, IN 47331 Phone: 765-825-4013 Fax: 765-825-7189 | |
Shiv Suman Kapoor Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1728 Virginia Ave, Connersville, IN 47331 Phone: 765-825-4044 Fax: 765-825-4110 |