LIFESPRING INC. NPI 1023681889

NPI Information

NPI: 1023681889
Provider Name: LIFESPRING INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 15D2285782

Address:
480 EVERSMAN DR
JASPER, IN
ZIP 47546
Phone: (812) 280-2080
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LIFESPRING INC. is a federally qualified health center (fqhc) clinic center in Jasper, IN. LIFESPRING INC. NPI is 1023681889. The provider is registered as an organization entity type.

The provider's business location address is:

480 EVERSMAN DR
JASPER, IN
ZIP 47546-548
Phone: (812) 280-2080

The provider's authorized official is Beth Keeney .
The authorized official title is Evp Community Health and has the following contact phone number (812) 206-1362.

The CLIA number assigned to this NPI record is 15D2285782 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2021 and was last updated on 8/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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