Organization
LIFESPRING, INC
Active
Parent organization
LIFESPRING, INC
Other names
LifeSpring Adult Integrated Medical Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPRING, INC
Authorized official
CHRISTINE ANNE GRIDER (VICE PRESIDENT)
(812) 206-1240
Entity
Organization
Contact information
Practice address
404 SPRING ST, JEFFERSONVILLE, IN 47130-3452
(812) 206-1303
Mailing address
460 SPRING ST, JEFFERSONVILLE, IN 47130-3452
(812) 206-1303
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/15/2019
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