| Lifespring, Inc | |
|
618 E Market St New Albany IN 47150-2914 | |
| (812) 280-6606 | |
| Not Available |
| Full Name | Lifespring, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 618 E Market St, New Albany, Indiana |
| Authorized Official Name and Position | Kristie Swoboda (PRACTIVE MANAGEMENT ADMINISTRATOR) |
| 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) 206-1249 | Lifespring, Inc 618 E Market St New Albany IN 47150-2914 Ph: (812) 280-6606 |
| NPI Number | 1619698669 |
|---|---|
| Provider Enumeration Date | 09/08/2022 |
| Last Update Date | 09/08/2022 |
| Medicare PECOS PAC ID | 5294624508 |
|---|---|
| Medicare Enrollment ID | O20221227000878 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619698669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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