Organization
LIFESPRING, INC
Active
Parent organization
LIFESPRING, INC
Other names
AUSTIN MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPRING, INC
Authorized official
TERRY STAWAR (CEO)
(812) 206-1234
Entity
Organization
Contact information
Practice address
2277 W FRONTAGE RD, AUSTIN, IN 47102-8820
(812) 413-3117
Mailing address
460 SPRING ST, JEFFERSONVILLE, IN 47130-3452
(812) 206-1362
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
06/11/2020
Last updated
07/20/2020
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