Active NPI
Lifespring, Inc
Doing business as Metro Mobile Unit
- Federally Qualified Health Center (FQHC)
- New Albany, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- LIFESPRING, INC
- Doing business as
- Metro Mobile Unit
- Practice address
- 618 E Market St
New Albany, IN 47150-2914 - Phone
- (812) 280-6606
- NPI assigned
- Sep 8, 2022
- Last updated
- Sep 8, 2022
- Organization subpart
- Yes
- Parent organization
- LIFESPRING INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristie Swoboda
- Title
- Practive Management Administrator
- Phone
- (812) 206-1249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
618 E Market St
New Albany, IN 47150-2914
Mailing address
460 Spring St
Jeffersonville, IN 47130-3452
Phone (812) 206-1249
Other names 1
- Metro Mobile Unit
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221227000878 | IN | Part A Provider - Federally Qualified Health Center (FQHC) | 5294624508 | Practice locations: New Albany, IN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1619698669. Details of each certification follow.
Federally qualified health center certification: CCN 151156
- Legal name
- LIFESPRING, INC
- Doing business as
- METRO MOBILE UNIT
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Oct 18, 2022
- Last certification
- Oct 18, 2022
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Apr 16, 1964 in IN
- Enrollment address
- 618 E Market St
New Albany, IN 47150-2914
Other NPIs with the same Medicare PAC ID 15
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba New Albany Student Health Center
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1326611187
5294624508
-
dba Salem Community Medical Services
- Federally Qualified Health Center (FQHC)
- Salem, IN
- NPI 1568907673
5294624508
-
dba New Albany Community Medical Services
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1750056461
5294624508
-
dba Jasper Community Medical Services
- Federally Qualified Health Center (FQHC)
- Jasper, IN
- NPI 1023681889
5294624508
-
dba Salem Community Schools Health Center
- Federally Qualified Health Center (FQHC)
- Salem, IN
- NPI 1255006961
5294624508
-
dba LifeSpring Forensics Health Services
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1043010077
5294624508
-
dba Dale Community Medical Services
- Federally Qualified Health Center (FQHC)
- Dale, IN
- NPI 1205673084
5294624508
-
dba LifeSpring Orleans Family Health
- Federally Qualified Health Center (FQHC)
- Orleans, IN
- NPI 1265277883
5294624508
-
dba Floyd County Student Health Center
- Federally Qualified Health Center (FQHC)
- Floyds Knobs, IN
- NPI 1497522692
5294624508
-
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1700435948
5294624508
-
dba Austin Medical Center
- Federally Qualified Health Center (FQHC)
- Austin, IN
- NPI 1811512239
5294624508
-
dba Southern Indiana Mental Health and Guidance Center of ECI
- Community/Behavioral Health Agency
- Jeffersonville, IN
- NPI 1851489942
5294624508
National Provider Directory
National Provider Directory- Tax ID family
- Lifespring Inc
- Part of
- Lifespring Inc
Other organizations with this tax ID 34
Organizations that report the same tax identification number in the National Provider Directory.
-
dba New Albany Student Health Center
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1326611187
-
dba Salem Community Medical Services
- Federally Qualified Health Center (FQHC)
- Salem, IN
- NPI 1568907673
-
dba New Albany Community Medical Services
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1750056461
-
dba Salem Community Schools Health Center
- Federally Qualified Health Center (FQHC)
- Salem, IN
- NPI 1255006961
-
dba LifeSpring Forensics Health Services
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1043010077
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jeffersonville, IN
- NPI 1043459894
-
- Community/Behavioral Health Agency
- English, IN
- NPI 1104393206
-
dba LifeSpring Washington County
- Community/Behavioral Health Agency
- Salem, IN
- NPI 1114788296
-
dba LifeSpring Orleans Health Center
- Family Medicine Physician
- Orleans, IN
- NPI 1124868740
-
dba Hope Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Jasper, IN
- NPI 1164287595
-
dba Dale Community Medical Services
- Federally Qualified Health Center (FQHC)
- Dale, IN
- NPI 1205673084
Ownership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Alan Smock | Corporate Director | Jan 1, 2022 | |
| Jacalyn Young | Corporate Director | Jul 1, 2022 | |
| Emily Stumler | Corporate Director | Jan 1, 2022 | |
| Paul Kiger | Corporate Director | Jan 1, 2022 | |
| Christine Grider | Corporate Officer | Jan 1, 2017 | |
| W-2 Managing Employee | Jan 1, 2017 | ||
| Operational/Managerial Control | Jan 1, 2017 | ||
| Melissa Campbell | Corporate Director | Jan 1, 2022 | |
| Darnell Jackson | Corporate Director | Jan 1, 2022 | |
| Randal Dennison | Corporate Director | Jan 1, 2022 | |
| Lifespring, Inc | 5% Or Greater Direct Ownership Interest | Apr 16, 1966 | 100% |
| Anne Beth Kenney | Corporate Officer | Jan 1, 2021 | |
| W-2 Managing Employee | Jan 1, 2021 | ||
| Operational/Managerial Control | Jan 1, 2021 | ||
| Wendy Broughton | Corporate Director | Jan 1, 2022 | |
| Denise Eden | Corporate Director | Jan 1, 2022 | |
| Rossina Sandoval Monsivais | Corporate Director | Jan 1, 2022 | |
| Kenny Kavanaugh | Corporate Director | Jan 1, 2022 | |
| Ray Oppel | Corporate Director | Jan 1, 2022 |
Owners & managing parties with NPI records 15
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba New Albany Student Health Center
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1326611187
5% Or Greater Direct Ownership Interest
-
dba Salem Community Medical Services
- Federally Qualified Health Center (FQHC)
- Salem, IN
- NPI 1568907673
5% Or Greater Direct Ownership Interest
-
dba New Albany Community Medical Services
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1750056461
5% Or Greater Direct Ownership Interest
-
dba Jasper Community Medical Services
- Federally Qualified Health Center (FQHC)
- Jasper, IN
- NPI 1023681889
5% Or Greater Direct Ownership Interest
-
dba Salem Community Schools Health Center
- Federally Qualified Health Center (FQHC)
- Salem, IN
- NPI 1255006961
5% Or Greater Direct Ownership Interest
-
dba LifeSpring Forensics Health Services
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1043010077
5% Or Greater Direct Ownership Interest
-
dba Dale Community Medical Services
- Federally Qualified Health Center (FQHC)
- Dale, IN
- NPI 1205673084
5% Or Greater Direct Ownership Interest
-
dba LifeSpring Orleans Family Health
- Federally Qualified Health Center (FQHC)
- Orleans, IN
- NPI 1265277883
5% Or Greater Direct Ownership Interest
-
dba Floyd County Student Health Center
- Federally Qualified Health Center (FQHC)
- Floyds Knobs, IN
- NPI 1497522692
5% Or Greater Direct Ownership Interest
-
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1700435948
5% Or Greater Direct Ownership Interest
-
dba Austin Medical Center
- Federally Qualified Health Center (FQHC)
- Austin, IN
- NPI 1811512239
5% Or Greater Direct Ownership Interest
-
dba Southern Indiana Mental Health and Guidance Center of ECI
- Community/Behavioral Health Agency
- Jeffersonville, IN
- NPI 1851489942
5% Or Greater Direct Ownership Interest
All facility ownership & control disclosures 12
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Lifespring Community Medical Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Salem Community Medical Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Dec 15, 2016 |
| Lifespring Adult Integrated Medical Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2019 |
| Lifespring, Inc | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 15, 1966 |
| Austin Medical Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 16, 1966 |
| New Albany Student Health Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2024 |
| Jasper Community Medical Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2024 |
| Dale Community Medical Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2024 |
| Lifespring Orleans Family Health | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 24, 2024 |
| Charlestown Community Medical Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Aug 21, 2024 |
| Lifespring Forensics Health Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2024 |
| Floyd Central Student Health Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Nov 27, 2023 |
Owned or controlled facilities with NPI records 12
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba New Albany Student Health Center
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1326611187
5% Or Greater Direct Ownership Interest
-
dba Salem Community Medical Services
- Federally Qualified Health Center (FQHC)
- Salem, IN
- NPI 1568907673
5% Or Greater Direct Ownership Interest
-
dba Jasper Community Medical Services
- Federally Qualified Health Center (FQHC)
- Jasper, IN
- NPI 1023681889
5% Or Greater Direct Ownership Interest
-
dba LifeSpring Forensics Health Services
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1043010077
5% Or Greater Direct Ownership Interest
-
dba Dale Community Medical Services
- Federally Qualified Health Center (FQHC)
- Dale, IN
- NPI 1205673084
5% Or Greater Direct Ownership Interest
-
dba LifeSpring Orleans Family Health
- Federally Qualified Health Center (FQHC)
- Orleans, IN
- NPI 1265277883
5% Or Greater Direct Ownership Interest
-
dba Floyd County Student Health Center
- Federally Qualified Health Center (FQHC)
- Floyds Knobs, IN
- NPI 1497522692
5% Or Greater Direct Ownership Interest
-
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1700435948
5% Or Greater Direct Ownership Interest
-
dba Austin Medical Center
- Federally Qualified Health Center (FQHC)
- Austin, IN
- NPI 1811512239
5% Or Greater Direct Ownership Interest
-
dba LifeSpring Adult Integrated Medical Services
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1861957706
5% Or Greater Direct Ownership Interest
-
dba Lifespring Community Medical Services
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1982083564
5% Or Greater Direct Ownership Interest
-
dba Charlestown Community Medical Services
- Federally Qualified Health Center (FQHC)
- Charlestown, IN
- NPI 1992549398
5% Or Greater Direct Ownership Interest
Facilities with the same owner 12
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba New Albany Student Health Center
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1326611187
Lifespring, Inc
-
dba Salem Community Medical Services
- Federally Qualified Health Center (FQHC)
- Salem, IN
- NPI 1568907673
Lifespring, Inc
-
dba Jasper Community Medical Services
- Federally Qualified Health Center (FQHC)
- Jasper, IN
- NPI 1023681889
Lifespring, Inc
-
dba LifeSpring Forensics Health Services
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1043010077
Lifespring, Inc
-
dba Dale Community Medical Services
- Federally Qualified Health Center (FQHC)
- Dale, IN
- NPI 1205673084
Lifespring, Inc
-
dba LifeSpring Orleans Family Health
- Federally Qualified Health Center (FQHC)
- Orleans, IN
- NPI 1265277883
Lifespring, Inc
-
dba Floyd County Student Health Center
- Federally Qualified Health Center (FQHC)
- Floyds Knobs, IN
- NPI 1497522692
Lifespring, Inc
-
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1700435948
Lifespring, Inc
-
dba Austin Medical Center
- Federally Qualified Health Center (FQHC)
- Austin, IN
- NPI 1811512239
Lifespring, Inc
-
dba LifeSpring Adult Integrated Medical Services
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1861957706
Lifespring, Inc
-
dba Lifespring Community Medical Services
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1982083564
Lifespring, Inc
-
dba Charlestown Community Medical Services
- Federally Qualified Health Center (FQHC)
- Charlestown, IN
- NPI 1992549398
Lifespring, Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662595200000",
"number": "1619698669",
"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": "812-206-1249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 E MARKET ST",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471502914",
"telephone_number": "812-280-6606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESPRING, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFESPRING INC",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-08",
"certification_date": "2022-09-07",
"status": "A",
"authorized_official_last_name": "SWOBODA",
"authorized_official_first_name": "KRISTIE",
"authorized_official_title_or_position": "PRACTIVE MANAGEMENT ADMINISTRATOR",
"authorized_official_telephone_number": "812-206-1249"
},
"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": "Metro Mobile Unit",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in New Albany, IN
- Lifespan Resources
- Lifespring Inc (New Albany Student Health Center)
- Lifespring Inc (New Albany Community Medical Services)
- Lifespring, Inc (LifeSpring Forensics Floyd County)
- Lifespring, Inc (LifeSpring Floyd County)
- Lifespring, Inc (LifeSpring New Albany)
- Bertina Finwei Lin, MD
- Lincare Inc.
- Amy Jo Lindsey, LCSW
- Jennifer L Lindsey, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.