Lifespring, Inc | |
110 South Main St Dale IN 47523-5204 | |
(812) 280-2080 | |
Not Available |
Full Name | Lifespring, Inc |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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 | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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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 |
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Provider Enumeration Date | 07/10/2024 |
Last Update Date | 07/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205673084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Dale Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4 W Vine St, Dale, IN 47523 Phone: 812-937-7140 Fax: 812-937-7145 |