| Lifespring, Inc | |
|
110 South Main St Dale IN 47523-5204 | |
| (812) 280-2080 | |
| Not Available |
| Full Name | Lifespring, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 South Main St, Dale, Indiana |
| Authorized Official Name and Position | Kristie Swoboda (DIRECTOR OF PRACTICE MANAGEMENT) |
| Authorized Official Contact | 8122061249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespring, Inc 460 Spring St Jeffersonville IN 47130-3452 Ph: (812) 280-2080 | Lifespring, Inc 110 South Main St Dale IN 47523-5204 Ph: (812) 280-2080 |
| NPI Number | 1205673084 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/10/2024 |
| Medicare PECOS PAC ID | 5294624508 |
|---|---|
| Medicare Enrollment ID | O20250213001018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205673084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Deaconess Memorial Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4 W Vine St, Dale, IN 47523 Phone: 812-937-7140 Fax: 812-937-7145 |