| Lifespring Inc | |
|
2614 Charlestown Road New Albany IN 47150-4715 | |
| (812) 280-2080 | |
| Not Available |
| Full Name | Lifespring Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2614 Charlestown Road, New Albany, Indiana |
| Authorized Official Name and Position | Anne Keeney (EVP COMMUNITY HEALTH) |
| Authorized Official Contact | 8122061362 |
| 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) 206-1362 | Lifespring Inc 2614 Charlestown Road New Albany IN 47150-4715 Ph: (812) 280-2080 |
| NPI Number | 1750056461 |
|---|---|
| Provider Enumeration Date | 08/13/2021 |
| Last Update Date | 08/23/2021 |
| Medicare PECOS PAC ID | 5294624508 |
|---|---|
| Medicare Enrollment ID | O20210831002844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750056461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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