NPIMap

Organization Active NPI

Centerstone Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Columbus, IN
National Provider Identifier
1114553948
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTERSTONE HEALTH SERVICES, INC.
Doing business as
Centerstone Health Services, Inc.
Practice address
720 N Marr Rd Ste a
Columbus, IN 47201-6660
Phone
(812) 314-3400
Fax
(812) 376-4875
NPI assigned
Mar 12, 2020
Last updated
Jul 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jenny Harrison
Title
Ceo
Phone
(812) 350-8249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

720 N Marr Rd Ste a
Columbus, IN 47201-6660

Mailing address

645 S Rogers St Ste a
Bloomington, IN 47403-2353
Phone (812) 339-1691

Other names 1

  • Centerstone Health Services, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070504000012 IN Part B Supplier - Clinic/Group Practice 1850497173 Receives reassigned benefits from 35 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bloomington, IN; Columbus, IN; Connersville, IN; Richmond, IN
O20210721001332 IN Part A Provider - Federally Qualified Health Center (FQHC) 1850497173 Practice locations: Columbus, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114553948. Details of each certification follow.

Federally qualified health center certification: CCN 151110

Legal name
CENTERSTONE HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 16, 2021
Last certification
Jul 16, 2021
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Jan 6, 1972 in IN
Enrollment address
720 N Marr Rd
Ste a
Columbus, IN 47201-6660

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2230843Centerstone Health Services, Inc720 N Marr Road Suite a, Columbus, IN 47201Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory

Locations

1550 E State Road 44
Connersville, IN 47331
Phone (765) 222-1400

390 Erie Ave
Ste A
Connersville, IN 47331
Phone (812) 325-7492

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24341/brand/1/csg/1/fhir/r4

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jennifer Harrison Individual Corporate OfficerCeo Jan 1, 2023 100%
W-2 Managing EmployeeCeo Jan 1, 2023 100%
Operational/Managerial ControlCeo Jan 1, 2023

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1114553948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 S ROGERS ST STE A",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032353",
            "telephone_number": "812-339-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N MARR RD STE A",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016660",
            "telephone_number": "812-314-3400",
            "fax_number": "812-376-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERSTONE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-350-8249"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centerstone Health Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centerstone Health Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.