Lifespring Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

LIFESPRING INC

Doing business as

Salem Community Medical Services

Practice address

1321 S Jackson St
Salem, IN 47167-9730

Phone

(812) 883-3095

NPI assigned

Dec 28, 2016

Last updated

Feb 23, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

LIFESPRING INCAs reported in NPPES

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

Authorized official

Name

Beth Keeney

Title

Sr VP Community Health

Phone

(812) 206-1362

Specialties & licenses 1

Addresses

Other names 1

• Salem Community Medical Services Doing business as

Medicare fee-for-service enrollment

Enrolled in IN3 enrollments

Enrollment records 3

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568907673. Details of each certification follow.

• CCN 151979 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 151979

Legal name

LIFESPRING, INC

Doing business as

SALEM COMMUNITY MEDICAL SERVICES

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 30, 2016

Last certification

Dec 30, 2016

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Apr 15, 1964 in IN

Enrollment address

1321 S Jackson St
Salem, IN 47167-9730

Other NPIs with the same Medicare PAC ID 15

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

• Lifespring Inc

  dba New Albany Student Health Center

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

  5294624508

  Same PAC ID
• Lifespring Inc

  dba New Albany Community Medical Services

  • Federally Qualified Health Center (FQHC)
  • New Albany, IN
  • NPI 1750056461

  5294624508

  Same PAC ID
• Lifespring Inc.

  dba Jasper Community Medical Services

  • Federally Qualified Health Center (FQHC)
  • Jasper, IN
  • NPI 1023681889

  5294624508

  Same PAC ID
• Lifespring Inc.

  dba Salem Community Schools Health Center

  • Federally Qualified Health Center (FQHC)
  • Salem, IN
  • NPI 1255006961

  5294624508

  Same PAC ID
• Lifespring, Inc

  dba LifeSpring Forensics Health Services

  • Federally Qualified Health Center (FQHC)
  • Jeffersonville, IN
  • NPI 1043010077

  5294624508

  Same PAC ID
• Lifespring, Inc

  dba Dale Community Medical Services

  • Federally Qualified Health Center (FQHC)
  • Dale, IN
  • NPI 1205673084

  5294624508

  Same PAC ID
• Lifespring, Inc

  dba LifeSpring Orleans Family Health

  • Federally Qualified Health Center (FQHC)
  • Orleans, IN
  • NPI 1265277883

  5294624508

  Same PAC ID
• Lifespring, Inc

  dba Floyd County Student Health Center

  • Federally Qualified Health Center (FQHC)
  • Floyds Knobs, IN
  • NPI 1497522692

  5294624508

  Same PAC ID
• Lifespring, Inc

  dba Metro Mobile Unit

  • Federally Qualified Health Center (FQHC)
  • New Albany, IN
  • NPI 1619698669

  5294624508

  Same PAC ID
• Lifespring, Inc

  • Federally Qualified Health Center (FQHC)
  • Jeffersonville, IN
  • NPI 1700435948

  5294624508

  Same PAC ID
• Lifespring, Inc

  dba Austin Medical Center

  • Federally Qualified Health Center (FQHC)
  • Austin, IN
  • NPI 1811512239

  5294624508

  Same PAC ID
• Lifespring, Inc

  dba Southern Indiana Mental Health and Guidance Center of ECI

  • Community/Behavioral Health Agency
  • Jeffersonville, IN
  • NPI 1851489942

  5294624508

  Same PAC ID

Other NPIs on the same Medicare enrollment 19

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

• Lifespring Inc

  dba New Albany Student Health Center

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

  O20040315000128, O20040805000332

  Same enrollment
• Lifespring Inc

  dba New Albany Community Medical Services

  • Federally Qualified Health Center (FQHC)
  • New Albany, IN
  • NPI 1750056461

  O20040315000128, O20040805000332

  Same enrollment
• Lifespring Inc

  dba Austin Medical Center

  • Federally Qualified Health Center (FQHC)
  • Austin, IN
  • NPI 1851751887

  O20040315000128, O20040805000332

  Same enrollment
• Lifespring Inc.

  dba Jasper Community Medical Services

  • Federally Qualified Health Center (FQHC)
  • Jasper, IN
  • NPI 1023681889

  O20040315000128, O20040805000332

  Same enrollment
• Lifespring Inc.

  dba Salem Community Schools Health Center

  • Federally Qualified Health Center (FQHC)
  • Salem, IN
  • NPI 1255006961

  O20040315000128, O20040805000332

  Same enrollment
• Lifespring, Inc

  • Community/Behavioral Health Agency
  • English, IN
  • NPI 1104393206

  O20040315000128, O20040805000332

  Same enrollment
• Lifespring, Inc

  dba Hope Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jasper, IN
  • NPI 1164287595

  O20040805000332

  Same enrollment
• Lifespring, Inc

  dba Charlestown Behavioral Services

  • Community/Behavioral Health Agency
  • Charlestown, IN
  • NPI 1457186355

  O20040805000332

  Same enrollment
• Lifespring, Inc

  • Community/Behavioral Health Agency
  • Jasper, IN
  • NPI 1487121687

  O20040315000128, O20040805000332

  Same enrollment
• Lifespring, Inc

  dba Floyd County Student Health Center

  • Federally Qualified Health Center (FQHC)
  • Floyds Knobs, IN
  • NPI 1497522692

  O20040805000332

  Same enrollment
• Lifespring, Inc

  • Community/Behavioral Health Agency
  • Tell City, IN
  • NPI 1548737646

  O20040315000128, O20040805000332

  Same enrollment
• Lifespring, Inc

  dba LifeSpring Health Systems

  • Community/Behavioral Health Agency
  • Dale, IN
  • NPI 1639029283

  O20040315000128, O20040805000332

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Lifespring Inc

  dba New Albany Student Health Center

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

  dba New Albany Community Medical Services

  • Federally Qualified Health Center (FQHC)
  • New Albany, IN
  • NPI 1750056461
  NPD tax ID
• Lifespring Inc.

  dba Salem Community Schools Health Center

  • Federally Qualified Health Center (FQHC)
  • Salem, IN
  • NPI 1255006961
  NPD tax ID
• Lifespring, Inc

  dba LifeSpring Forensics Health Services

  • Federally Qualified Health Center (FQHC)
  • Jeffersonville, IN
  • NPI 1043010077
  NPD tax ID
• Lifespring, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jeffersonville, IN
  • NPI 1043459894
  NPD tax ID
• Lifespring, Inc

  • Community/Behavioral Health Agency
  • English, IN
  • NPI 1104393206
  NPD tax ID
• Lifespring, Inc

  dba LifeSpring Washington County

  • Community/Behavioral Health Agency
  • Salem, IN
  • NPI 1114788296
  NPD tax ID
• Lifespring, Inc

  dba LifeSpring Orleans Health Center

  • Family Medicine Physician
  • Orleans, IN
  • NPI 1124868740
  NPD tax ID
• Lifespring, Inc

  dba Hope Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jasper, IN
  • NPI 1164287595
  NPD tax ID
• Lifespring, Inc

  dba Dale Community Medical Services

  • Federally Qualified Health Center (FQHC)
  • Dale, IN
  • NPI 1205673084
  NPD tax ID
• Lifespring, Inc

  dba LifeSpring Austin

  • Community/Behavioral Health Agency
  • Austin, IN
  • NPI 1225899388
  NPD tax ID
• Lifespring, Inc

  dba LifeSpring Orleans Family Health

  • Federally Qualified Health Center (FQHC)
  • Orleans, IN
  • NPI 1265277883
  NPD tax ID

All disclosed owners & managing parties 14

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

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

  dba New Albany Student Health Center

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

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lifespring Inc

  dba New Albany Community Medical Services

  • Federally Qualified Health Center (FQHC)
  • New Albany, IN
  • NPI 1750056461

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lifespring Inc.

  dba Jasper Community Medical Services

  • Federally Qualified Health Center (FQHC)
  • Jasper, IN
  • NPI 1023681889

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lifespring Inc.

  dba Salem Community Schools Health Center

  • Federally Qualified Health Center (FQHC)
  • Salem, IN
  • NPI 1255006961

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lifespring, Inc

  dba LifeSpring Forensics Health Services

  • Federally Qualified Health Center (FQHC)
  • Jeffersonville, IN
  • NPI 1043010077

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lifespring, Inc

  dba Dale Community Medical Services

  • Federally Qualified Health Center (FQHC)
  • Dale, IN
  • NPI 1205673084

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lifespring, Inc

  dba LifeSpring Orleans Family Health

  • Federally Qualified Health Center (FQHC)
  • Orleans, IN
  • NPI 1265277883

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lifespring, Inc

  dba Floyd County Student Health Center

  • Federally Qualified Health Center (FQHC)
  • Floyds Knobs, IN
  • NPI 1497522692

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lifespring, Inc

  dba Metro Mobile Unit

  • 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

  dba Austin Medical Center

  • Federally Qualified Health Center (FQHC)
  • Austin, IN
  • NPI 1811512239

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lifespring, Inc

  dba Southern Indiana Mental Health and Guidance Center of ECI

  • Community/Behavioral Health Agency
  • Jeffersonville, IN
  • NPI 1851489942

  5% Or Greater Direct Ownership Interest

  CMS ownership

All facility ownership & control disclosures 12

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

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

  dba New Albany Student Health Center

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

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lifespring Inc.

  dba Jasper Community Medical Services

  • Federally Qualified Health Center (FQHC)
  • Jasper, IN
  • NPI 1023681889

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lifespring, Inc

  dba LifeSpring Forensics Health Services

  • Federally Qualified Health Center (FQHC)
  • Jeffersonville, IN
  • NPI 1043010077

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lifespring, Inc

  dba Dale Community Medical Services

  • Federally Qualified Health Center (FQHC)
  • Dale, IN
  • NPI 1205673084

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lifespring, Inc

  dba LifeSpring Orleans Family Health

  • Federally Qualified Health Center (FQHC)
  • Orleans, IN
  • NPI 1265277883

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lifespring, Inc

  dba Floyd County Student Health Center

  • Federally Qualified Health Center (FQHC)
  • Floyds Knobs, IN
  • NPI 1497522692

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lifespring, Inc

  dba Metro Mobile Unit

  • 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

  dba Austin Medical Center

  • Federally Qualified Health Center (FQHC)
  • Austin, IN
  • NPI 1811512239

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lifespring, Inc

  dba LifeSpring Adult Integrated Medical Services

  • Federally Qualified Health Center (FQHC)
  • Jeffersonville, IN
  • NPI 1861957706

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lifespring, Inc

  dba Lifespring Community Medical Services

  • Federally Qualified Health Center (FQHC)
  • Jeffersonville, IN
  • NPI 1982083564

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lifespring, Inc

  dba Charlestown Community Medical Services

  • 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.

• Lifespring Inc

  dba New Albany Student Health Center

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

  Lifespring, Inc

  CMS ownership
• Lifespring Inc.

  dba Jasper Community Medical Services

  • Federally Qualified Health Center (FQHC)
  • Jasper, IN
  • NPI 1023681889

  Lifespring, Inc

  CMS ownership
• Lifespring, Inc

  dba LifeSpring Forensics Health Services

  • Federally Qualified Health Center (FQHC)
  • Jeffersonville, IN
  • NPI 1043010077

  Lifespring, Inc

  CMS ownership
• Lifespring, Inc

  dba Dale Community Medical Services

  • Federally Qualified Health Center (FQHC)
  • Dale, IN
  • NPI 1205673084

  Lifespring, Inc

  CMS ownership
• Lifespring, Inc

  dba LifeSpring Orleans Family Health

  • Federally Qualified Health Center (FQHC)
  • Orleans, IN
  • NPI 1265277883

  Lifespring, Inc

  CMS ownership
• Lifespring, Inc

  dba Floyd County Student Health Center

  • Federally Qualified Health Center (FQHC)
  • Floyds Knobs, IN
  • NPI 1497522692

  Lifespring, Inc

  CMS ownership
• Lifespring, Inc

  dba Metro Mobile Unit

  • Federally Qualified Health Center (FQHC)
  • New Albany, IN
  • NPI 1619698669

  Lifespring, Inc

  CMS ownership
• Lifespring, Inc

  • Federally Qualified Health Center (FQHC)
  • Jeffersonville, IN
  • NPI 1700435948

  Lifespring, Inc

  CMS ownership
• Lifespring, Inc

  dba Austin Medical Center

  • Federally Qualified Health Center (FQHC)
  • Austin, IN
  • NPI 1811512239

  Lifespring, Inc

  CMS ownership
• Lifespring, Inc

  dba LifeSpring Adult Integrated Medical Services

  • Federally Qualified Health Center (FQHC)
  • Jeffersonville, IN
  • NPI 1861957706

  Lifespring, Inc

  CMS ownership
• Lifespring, Inc

  dba Lifespring Community Medical Services

  • Federally Qualified Health Center (FQHC)
  • Jeffersonville, IN
  • NPI 1982083564

  Lifespring, Inc

  CMS ownership
• Lifespring, Inc

  dba Charlestown Community Medical Services

  • Federally Qualified Health Center (FQHC)
  • Charlestown, IN
  • NPI 1992549398

  Lifespring, Inc

  CMS ownership

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Ann Johnson, LSW

  • Clinical Social Worker
  • Salem, IN
  • NPI 1720685100
  NPD
• Lucinda Emily Woodward, PH.D.

  • Psychologist
  • Salem, IN
  • NPI 1962975417
  NPD
• Jamie Anne Austin

  • Family Nurse Practitioner
  • Jeffersonville, IN
  • NPI 1114412442
  NPD (past)
• Megan Bierman, FNP-BC

  • Family Nurse Practitioner
  • New Albany, IN
  • NPI 1831528405
  NPD (past)
• Leigha Bowyer Jones, APN

  • Primary Care Nurse Practitioner
  • Jeffersonville, IN
  • NPI 1710483037
  NPD (past)
• Kristen E Bree, NP

  • Family Nurse Practitioner
  • Mishawaka, IN
  • NPI 1164591830
  NPD (past)
• Sunny Bridges, APRN

  • Family Nurse Practitioner
  • Sellersburg, IN
  • NPI 1336827468
  NPD (past)
• Joann Childress, APRN, FNP-C

  • Family Nurse Practitioner
  • Jasper, IN
  • NPI 1407456601
  NPD (past)
• Heather K. M. Crites, FNP-C

  • Family Nurse Practitioner
  • Lexington, IN
  • NPI 1497314231
  NPD (past)
• Amanda Sue Davis-Houchen, FNP-C

  • Family Nurse Practitioner
  • Jeffersonville, IN
  • NPI 1538396155
  NPD (past)
• Alan Hightower, PA

  • Physician Assistant
  • Jeffersonville, IN
  • NPI 1174035141
  NPD (past)
• Roberta Darlene Kilburn, FNP-C

  • Family Nurse Practitioner
  • Austin, IN
  • NPI 1609203082
  NPD (past)

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1568907673",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 S JACKSON ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471679730",
            "telephone_number": "812-883-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPRING INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFESPRING INC",
        "enumeration_date": "2016-12-28",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "KEENEY",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "SR VP COMMUNITY HEALTH",
        "authorized_official_telephone_number": "812-206-1362"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Community Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen E. Kemker, M.D.
• Therisa J Kreilein, LCSW ACSW
• Kroger Limited Partnership I (Jay C Pharmacy #086)
• L Chirumamilla MD PC
• Christopher Lee, RN
• Lifespring Inc. (Salem Community Schools Health Center)
• Lifespring, Inc (LifeSpring Washington County)
• Maricor G Lim, PT
• Louisville Optometric Centers, III PSC (VisionFirst)
• Louisville Optometric Centers, III PSC (VisionFirst)

• Federally Qualified Health Center (FQHC) in Salem, IN
• Providers in Salem, IN by specialty
• Federally Qualified Health Center (FQHC) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.