NPI | 1982083564 |
---|---|
Doing Business As | LIFESPRING COMMUNITY MEDICAL SERVICES |
Entity Type | Organization |
Authorized Contact | TERRY LYNN STAWAR CEO 812-206-1234 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-05-28 |
Last Update Date | 2023-12-20 |