NPIMap

Organization Active NPI

Centerstone Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Connersville, IN
National Provider Identifier
1811766504
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.
Practice address
1550 E State Road 44
Connersville, IN 47331-8293
Phone
(812) 337-2317
Fax
(812) 269-5095
NPI assigned
Dec 22, 2023
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 Primary

Addresses

Primary practice location

1550 E State Road 44
Connersville, IN 47331-8293

Mailing address

645 S Rogers St Ste a
Bloomington, IN 47403-2353
Phone (812) 337-2317

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
O20240208002581 IN Part A Provider - Federally Qualified Health Center (FQHC) 1850497173 Practice locations: Connersville, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811766504. Details of each certification follow.

Federally qualified health center certification: CCN C51016

Legal name
CENTERSTONE HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 6, 2024
Last certification
Feb 6, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1550 E State Road 44
Connersville, IN 47331-8293

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.

National Provider Directory

National Provider Directory
Tax ID family
Centerstone Health Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

645 W Morgan St
Spencer, IN 47460
Phone (812) 829-0303

911 W Hillside Ave
Spencer, IN 47460
Phone (812) 823-0303

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Stacy E Cary Individual OtherBoard Member Jan 1, 2024
Gail a Marcum Individual OtherBoard Member Jan 1, 2024
Jennifer Harrison Individual Corporate DirectorCeo Jan 1, 2024 50%
W-2 Managing EmployeeCeo Jan 1, 2024 100%
Eldredge Casey Brewster Individual OtherBoard Member Jan 1, 2024
Jeremiah S Church Individual OtherBoard Member Jan 1, 2024

Practitioners & affiliated clinicians

Practitioners 38

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 38

NPI Registry JSON

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1811766504",
    "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": "812-337-2317",
            "fax_number": "812-269-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E STATE ROAD 44",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318293",
            "telephone_number": "812-337-2317",
            "fax_number": "812-269-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERSTONE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connersville, IN

Sources for this page

Verify at the official NPI Registry.