NPIMap

Lifespring, Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Austin, IN

NPI 1811512239 · NPPES record last updated Jul 20, 2020

Key facts

NPI
1811512239
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
LIFESPRING, INC
Practice address
2277 W Frontage Rd
Austin, IN 47102-8820
Phone
(812) 413-3117
NPI assigned
Jun 11, 2020
Organization subpart
Yes
Parent organization (as reported)
LIFESPRING, INC

Authorized official

Name
Terry Stawar
Title
Ceo
Phone
(812) 206-1234

Owners & managing parties with NPI records 16

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

  • Misty Lee Kannapel Gilbert, LCSW, MSSW, CSW Clinical Social Worker · Jeffersonville, IN · NPI 1972749257
    CMS ownership CORPORATE DIRECTOR
  • Lifespring Inc Federally Qualified Health Center (FQHC) · New Albany, IN · NPI 1326611187
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring Inc Federally Qualified Health Center (FQHC) · Salem, IN · NPI 1568907673
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring Inc Federally Qualified Health Center (FQHC) · New Albany, IN · NPI 1750056461
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring Inc. Federally Qualified Health Center (FQHC) · Jasper, IN · NPI 1023681889
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring Inc. Federally Qualified Health Center (FQHC) · Salem, IN · NPI 1255006961
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Federally Qualified Health Center (FQHC) · Jeffersonville, IN · NPI 1043010077
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Federally Qualified Health Center (FQHC) · Dale, IN · NPI 1205673084
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Federally Qualified Health Center (FQHC) · Orleans, IN · NPI 1265277883
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Federally Qualified Health Center (FQHC) · Floyds Knobs, IN · NPI 1497522692
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Federally Qualified Health Center (FQHC) · New Albany, IN · NPI 1619698669
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Federally Qualified Health Center (FQHC) · Jeffersonville, IN · NPI 1700435948
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Community/Behavioral Health Agency · Jeffersonville, IN · NPI 1851489942
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Federally Qualified Health Center (FQHC) · Jeffersonville, IN · NPI 1861957706
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Federally Qualified Health Center (FQHC) · Jeffersonville, IN · NPI 1982083564
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Federally Qualified Health Center (FQHC) · Charlestown, IN · NPI 1992549398
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST

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
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring Inc Federally Qualified Health Center (FQHC) · Salem, IN · NPI 1568907673
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring Inc. Federally Qualified Health Center (FQHC) · Jasper, IN · NPI 1023681889
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Federally Qualified Health Center (FQHC) · Jeffersonville, IN · NPI 1043010077
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Federally Qualified Health Center (FQHC) · Dale, IN · NPI 1205673084
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Federally Qualified Health Center (FQHC) · Orleans, IN · NPI 1265277883
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Federally Qualified Health Center (FQHC) · Floyds Knobs, IN · NPI 1497522692
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Federally Qualified Health Center (FQHC) · New Albany, IN · NPI 1619698669
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Federally Qualified Health Center (FQHC) · Jeffersonville, IN · NPI 1700435948
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Federally Qualified Health Center (FQHC) · Jeffersonville, IN · NPI 1861957706
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Federally Qualified Health Center (FQHC) · Jeffersonville, IN · NPI 1982083564
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Lifespring, Inc Federally Qualified Health Center (FQHC) · Charlestown, IN · NPI 1992549398
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST

Other NPIs on the same Medicare enrollment 19

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

Other NPIs with the same Medicare PAC ID 15

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

Corporate family (same tax ID) 34

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

View all 34

Facilities with the same owner 12

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

Practitioners 69

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

View all 69

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in IN

Federally qualified health center certification: CCN 151081

Legal name
LIFESPRING, INC
Doing business as
AUSTIN MEDICAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 12, 2020
Last certification
Jun 12, 2020
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Enrollment address
2277 W Frontage Rd
Austin, IN 47102-8820

All disclosed owners & managing parties 17

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 		Corporate Director
Board Member		 Jan 1, 2022
Jacalyn Young
Individual 		Corporate Director
Board Member		 Jul 23, 2025
Emily Stumler
Individual 		Corporate Director
Board Member		 Jan 1, 2022
Paul Kiger
Individual 		Corporate Officer
Board Member		 Jul 23, 2025
Misty L Kannapel Gilbert
Individual 		Corporate Director
Coo		 Jun 1, 2024
Nick Clark
Individual 		Corporate Director
Cfo		 Jun 1, 2024
Melissa Campbell
Individual 		Corporate Officer
Board Member		 Jul 23, 2025
Darnell Jackson
Individual 		Corporate Officer
Board Member		 Jul 23, 2025
Lifespring, Inc
Organization · Jeffersonville, IN
Corporation, Non-profit 		5% Or Greater Direct Ownership Interest Apr 16, 1966 100%
Margo Olson
Individual 		Corporate Officer
Board Member		 Jul 23, 2025
Anne Beth Kenney
Individual 		Corporate Officer
Ceo		 Jan 1, 2021
W-2 Managing Employee
Ceo		 Jan 1, 2021
Operational/Managerial Control
Ceo		 Jan 1, 2021
Wendy Broughton
Individual 		Corporate Director
Board Member		 Jan 1, 2022
Denise Eden
Individual 		Corporate Director
Board Member		 Jan 1, 2022
Rossina Sandoval Monsivais
Individual 		Corporate Officer
Board Member		 Jul 23, 2025
Kenny Kavanaugh
Individual 		Corporate Officer
Board Member		 Jul 23, 2025
Kristie Swoboda
Individual 		Corporate Director
Practice Manager Director		 Jun 1, 2024
Ray Oppel
Individual 		Corporate Director
Board Member		 Jan 1, 2022

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 Services
Jeffersonville, IN · CCN 151959		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
Salem Community Medical Services
Salem, IN · CCN 151979		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Dec 15, 2016
Lifespring Adult Integrated Medical Services
Jeffersonville, IN · CCN 151037		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Lifespring, Inc
Jeffersonville, IN · CCN 151058		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 15, 1966
New Albany Student Health Center
New Albany, IN · CCN 151113		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2024
Jasper Community Medical Services
Jasper, IN · CCN 151115		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2024
Metro Mobile Unit
New Albany, IN · CCN 151156		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 16, 1966
Dale Community Medical Services
Dale, IN · CCN C51081		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2024
Lifespring Orleans Family Health
Orleans, IN · CCN C51090		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 24, 2024
Charlestown Community Medical Services
Charlestown, IN · CCN C51088		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Aug 21, 2024
Lifespring Forensics Health Services
Jeffersonville, IN · CCN C51089		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2024
Floyd Central Student Health Center
Floyds Knobs, IN · CCN C51107		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Nov 27, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040315000128 IN Part B Supplier - Clinic/Group Practice 5294624508 Receives reassigned benefits from 66 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Albany, IN; Paoli, IN; Rockport, IN; Salem, IN; Scottsburg, IN; Tell City, IN; Jeffersonville, IN; Madison, IN…
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…
O20200615000165 IN Part a Provider - Federally Qualified Health Center (FQHC) 5294624508 Practice locations: Austin, IN

National Provider Directory

Tax ID family
Lifespring Inc (35 organizations share this tax ID)
Part of
Lifespring Inc

Locations

1321 S Jackson St
Salem, IN 47167
Phone (812) 883-3095

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

2277 W Frontage Rd
Austin, IN 47102-8820

Mailing address

460 Spring St
Jeffersonville, IN 47130-3452
Phone (812) 206-1362

Other names

  • AUSTIN MEDICAL CENTER Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 20, 2020.

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1811512239",
    "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": "812-206-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 W FRONTAGE RD",
            "city": "AUSTIN",
            "state": "IN",
            "postal_code": "471028820",
            "telephone_number": "812-413-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPRING, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFESPRING, INC",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "STAWAR",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-206-1234"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AUSTIN MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AUSTIN MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, IN

All providers in Austin, IN · Federally Qualified Health Center (FQHC) in Indiana

Sources for this page

Verify at the official NPI Registry.