NPIMap

Organization Active NPI

Lifespring, Inc

  • Federally Qualified Health Center (FQHC)
  • Floyds Knobs, IN
National Provider Identifier
1497522692
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LIFESPRING, INC
Practice address
6575 Old Vincennes Rd RM E108
Floyds Knobs, IN 47119-9742
Phone
(812) 280-2080
NPI assigned
Dec 7, 2023
Organization subpart
Yes
Parent organization
LIFESPRING, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anne Keeney, DRPH
Title
Ceo
Phone
(812) 206-1362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

6575 Old Vincennes Rd RM E108
Floyds Knobs, IN 47119-9742

Mailing address

460 Spring St
Jeffersonville, IN 47130-3452
Phone (812) 280-2080

Other names 1

  • Floyd County Student Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040805000332 IN Part B Supplier - Clinic/Group Practice 5294624508 Receives reassigned benefits from 115 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dale, IN; Tell City, IN; Scottsburg, IN; Salem, IN; Rockport, IN; Paoli, IN; New Albany, IN; Madison, IN…
O20250602001722 IN Part A Provider - Federally Qualified Health Center (FQHC) 5294624508 Practice locations: Floyds Knobs, IN

Federally qualified health center certification: CCN C51107

Legal name
LIFESPRING, INC
Doing business as
FLOYD CENTRAL STUDENT HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 17, 2025
Last certification
Apr 17, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 14, 1964 in IN
Enrollment address
6575 Old Vincennes Rd
RM E108
Floyds Knobs, IN 47119-9742

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory
Tax ID family
Lifespring Inc35 organizations share this tax ID, including this one
Part of
Lifespring Inc

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6575 Old Vincennes Rd
Floyds Knobs, IN 47119

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alan Smock Individual General Partnership InterestBoard Treasurer Nov 27, 2023
Jacalyn Young Individual General Partnership InterestBoard Member Nov 27, 2023
Emily Stumler Individual General Partnership InterestBoard Member Nov 27, 2023
Paul Kiger Individual General Partnership InterestBoard Member Nov 27, 2023
Christine Grider Individual Corporate DirectorDirector Nov 27, 2023 100%
W-2 Managing EmployeeDirector Nov 27, 2023 100%
Nick Clark Individual Corporate DirectorCfo Nov 27, 2023
Melissa Campbell Individual Corporate OfficerBoard Member Nov 27, 2023
Darnell Jackson Individual General Partnership InterestBoard Chair Nov 27, 2023
Lifespring, Inc Organization, Jeffersonville, IN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 27, 2023 100%
Margo Olson Individual General Partnership InterestBoard Member Nov 27, 2023
Wendy Broughton Individual Corporate OfficerBoard Member Nov 27, 2023
Denise Eden Individual General Partnership InterestBoard Member Nov 27, 2023
Rossina Sandoval Monsivais Individual General Partnership InterestBoard Elect Nov 27, 2023
Kenny Kavanaugh Individual General Partnership InterestBoard Member Nov 27, 2023
Kristie Swoboda Individual Operational/Managerial ControlDirector Nov 27, 2023
Ray Oppel Individual General Partnership InterestBoard Member Nov 27, 2023

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Lifespring Inc
    • Federally Qualified Health Center (FQHC)
    • New Albany, IN
    • NPI 1326611187

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring Inc
    • Federally Qualified Health Center (FQHC)
    • Salem, IN
    • NPI 1568907673

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring Inc
    • Federally Qualified Health Center (FQHC)
    • New Albany, IN
    • NPI 1750056461

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring Inc.
    • Federally Qualified Health Center (FQHC)
    • Jasper, IN
    • NPI 1023681889

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring Inc.
    • Federally Qualified Health Center (FQHC)
    • Salem, IN
    • NPI 1255006961

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring, Inc
    • Federally Qualified Health Center (FQHC)
    • Jeffersonville, IN
    • NPI 1043010077

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring, Inc
    • Federally Qualified Health Center (FQHC)
    • Dale, IN
    • NPI 1205673084

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring, Inc
    • Federally Qualified Health Center (FQHC)
    • Orleans, IN
    • NPI 1265277883

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring, Inc
    • Federally Qualified Health Center (FQHC)
    • New Albany, IN
    • NPI 1619698669

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring, Inc
    • Federally Qualified Health Center (FQHC)
    • Jeffersonville, IN
    • NPI 1700435948

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring, Inc
    • Federally Qualified Health Center (FQHC)
    • Austin, IN
    • NPI 1811512239

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring, Inc
    • Community/Behavioral Health Agency
    • Jeffersonville, IN
    • NPI 1851489942

    5% Or Greater Direct Ownership Interest

    CMS ownership
View all 15

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lifespring Community Medical ServicesJeffersonville, IN, CCN 151959 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
Salem Community Medical ServicesSalem, IN, CCN 151979 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Dec 15, 2016
Lifespring Adult Integrated Medical ServicesJeffersonville, IN, CCN 151037 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Lifespring, IncJeffersonville, IN, CCN 151058 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 15, 1966
Austin Medical CenterAustin, IN, CCN 151081 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 16, 1966
New Albany Student Health CenterNew Albany, IN, CCN 151113 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2024
Jasper Community Medical ServicesJasper, IN, CCN 151115 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2024
Metro Mobile UnitNew Albany, IN, CCN 151156 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 16, 1966
Dale Community Medical ServicesDale, IN, CCN C51081 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2024
Lifespring Orleans Family HealthOrleans, IN, CCN C51090 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 24, 2024
Charlestown Community Medical ServicesCharlestown, IN, CCN C51088 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Aug 21, 2024
Lifespring Forensics Health ServicesJeffersonville, IN, CCN C51089 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2024

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Lifespring Inc
    • Federally Qualified Health Center (FQHC)
    • New Albany, IN
    • NPI 1326611187

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring Inc
    • Federally Qualified Health Center (FQHC)
    • Salem, IN
    • NPI 1568907673

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring Inc.
    • Federally Qualified Health Center (FQHC)
    • Jasper, IN
    • NPI 1023681889

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring, Inc
    • Federally Qualified Health Center (FQHC)
    • Jeffersonville, IN
    • NPI 1043010077

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring, Inc
    • Federally Qualified Health Center (FQHC)
    • Dale, IN
    • NPI 1205673084

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring, Inc
    • Federally Qualified Health Center (FQHC)
    • Orleans, IN
    • NPI 1265277883

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring, Inc
    • Federally Qualified Health Center (FQHC)
    • New Albany, IN
    • NPI 1619698669

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring, Inc
    • Federally Qualified Health Center (FQHC)
    • Jeffersonville, IN
    • NPI 1700435948

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring, Inc
    • Federally Qualified Health Center (FQHC)
    • Austin, IN
    • NPI 1811512239

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring, Inc
    • Federally Qualified Health Center (FQHC)
    • Jeffersonville, IN
    • NPI 1861957706

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring, Inc
    • Federally Qualified Health Center (FQHC)
    • Jeffersonville, IN
    • NPI 1982083564

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lifespring, Inc
    • Federally Qualified Health Center (FQHC)
    • Charlestown, IN
    • NPI 1992549398

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 66

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1497522692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 SPRING ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303452",
            "telephone_number": "812-280-2080",
            "fax_number": "812-206-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 OLD VINCENNES RD RM E108",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199742",
            "telephone_number": "812-280-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPRING, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFESPRING, INC",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "KEENEY",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-206-1362",
        "authorized_official_credential": "DRPH"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floyd County Student Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Floyds Knobs, IN

Sources for this page

Verify at the official NPI Registry.