| Lifespring Inc | |
|
2277 W Frontage Rd Austin IN 47102-8820 | |
| (812) 413-3117 | |
| Not Available |
| Full Name | Lifespring Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2277 W Frontage Rd, Austin, Indiana |
| Authorized Official Name and Position | Beth Keeney (SR VP COMMUNITY HEALTH) |
| Authorized Official Contact | 8122061362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespring Inc 460 Spring St Jeffersonville IN 47130-3452 Ph: () - | Lifespring Inc 2277 W Frontage Rd Austin IN 47102-8820 Ph: (812) 413-3117 |
| NPI Number | 1851751887 |
|---|---|
| Provider Enumeration Date | 03/03/2016 |
| Last Update Date | 06/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851751887 | NPI | - | NPPES |
| 201320560 B | Medicaid | IN | |
| 151968 | Other | MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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