Centerstone Of Indiana, Inc.
LBN: Centerstone Of Indiana, Inc.
Centerstone Of Indiana, Inc. is an health care organization with primary practice located at 645 S Rogers St , Bloomington IN 47403. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Centerstone Of Indiana, Inc. can be contacted via phone (812) 339-1691, or through Koesel, Suzanne L via phone (812) 337-2350.
Contact Information
Primary practice address
645 S Rogers St
Bloomington IN 47403
Phone: (812) 339-1691
Fax: (812) 337-2438
Website:
Authorized official contact:
Name: Koesel, Suzanne L Licensed Clinical Social Worker (LCSW)
Phone: (812) 337-2350
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 431-049 | Indiana |
Profile Details
| NPI number | 1992781470 |
|---|---|
| LBN Legal business name | Centerstone Of Indiana, Inc. |
| DBA Doing business as | |
| Authorized official | Koesel, Suzanne L Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Dec 17th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992781470 | NPPES |
| Indiana | MEDICAID | 100182650 |
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