NPIMap

Organization Active NPI

Lifespring Inc

  • Federally Qualified Health Center (FQHC)
  • Austin, IN
National Provider Identifier
1851751887
Registry record updated Jun 8, 2020
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
2277 W Frontage Rd
Austin, IN 47102-8820
Phone
(812) 413-3117
NPI assigned
Mar 3, 2016
Organization subpart
Yes
Parent organization
LIFESPRING INCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Beth Keeney
Title
Sr VP Community Health
Phone
(812) 206-1362

Other NPIs on the same Medicare enrollment 19

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

View all 19

Member of 1

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

Medicare participation

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

Enrollment records 2

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…

National Provider Directory

National Provider Directory
Part of
Lifespring Inc

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

2277 W Frontage Rd
Austin, IN 47102-8820

Mailing address

460 Spring St
Jeffersonville, IN 47130-3452

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
201320560 BMedicaidIN
151968OtherMEDICARE NUMBER

Other names 1

NPPES NPI Registry
  • Austin Medical Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 8, 2020.

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1851751887",
    "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": "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": "2016-03-03",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201320560 B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "151968",
            "state": null
        }
    ],
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.