SALEM COMMUNITY MEDICAL SERVICES
NPI 1568907673
Clinic/Center - Federally Qualified Health Center (FQHC) in Salem, IN

Active since December 28, 2016CLIA 15D2128168 · Waiver
1321 S JACKSON ST, SALEM, IN 47167(812) 883-3095 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 23, 2017, Dec 28, 2016 (2 updates tracked since 2016).

About Salem Community Medical Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALEM COMMUNITY MEDICAL SERVICES (NPI 1568907673) is a healthcare organization registered as a federally qualified health center (fqhc) in Salem, Indiana and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Beth Keeney, Sr Vp Community Health, as its authorized official.

NPPES Registry Identity

NPI1568907673
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLIFESPRING INC
Location Address1321 S JACKSON STSalem, IN 47167-9730
Mailing Address460 Spring StJeffersonville, IN 47130-3452
Organization SubpartYes
Authorized OfficialBeth KeeneySr Vp Community Health · (812) 206-1362
Enumeration DateDecember 28, 2016
Last NPPES UpdateFebruary 23, 20172 updates tracked since enumeration
✔ NPI 1568907673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1321 S JACKSON ST, Salem, IN 47167

Other Names 1

Doing Business AsSalem Community Medical Services

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Salem Community Medical Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 2

Next revalidation due by January 31, 2027

This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20040315000128Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
StateIndianaEnrollment IDO20040805000332Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

176

Medicare enrollment records show 176 clinicians reassign Medicare billing to Salem Community Medical Services, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Clinical Social Worker98
Nurse Practitioner45
Mental Health Counselor11
Psychiatry10
Family Practice5
Marriage and Family Therapist4
Clinical Psychologist2
Emergency Medicine1

Nearest to this location (20)

See all 176
Clinical Social Worker
NPI 1720685100
1321 S JACKSON ST
Salem, IN 47167
(812) 883-3095
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942683016
1321 S JACKSON ST
Salem, IN 47167
(812) 883-3095
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1447086707
1321 S JACKSON ST
Salem, IN 47167
(812) 883-3095
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1851794374
190 W BECKS MILL RD STE B
Salem, IN 47167
(812) 404-7186
✔ PECOS0.9 mi
Psychiatry
NPI 1750358313
911 N SHELBY ST
Salem, IN 47167
(812) 883-5881
✔ PECOS✔ Accepts Medicare1.6 mi
Clinical Social Worker
NPI 1215194824
3640 W MOUNT TABOR RD
Salem, IN 47167
(812) 883-0914
✔ PECOS✔ Accepts Medicare3.8 mi
Clinical Psychologist
NPI 1962975417
3358 W VINCENNES TRL
Salem, IN 47167
(812) 883-2594
✔ PECOS5.8 mi
Clinical Social Worker
NPI 1134538481
813 TWIN OAKS DR
Henryville, IN 47126
(812) 620-3583
✔ PECOS17 mi
Nurse Practitioner
NPI 1609203082
2277 W FRONTAGE RD
Austin, IN 47102
(812) 280-2080
✔ PECOS✔ Accepts Medicare18 mi
Clinical Social Worker
NPI 1972095230
183 E MCCLAIN AVE
Scottsburg, IN 47170
(812) 414-2331
✔ PECOS18 mi
Clinical Social Worker
NPI 1467976266
183 E MCCLAIN AVE
Scottsburg, IN 47170
(812) 414-2331
✔ PECOS✔ Accepts Medicare18 mi
Clinical Social Worker
NPI 1669996948
75 N 1ST ST
Scottsburg, IN 47170
(812) 752-2837
✔ PECOS18 mi
Clinical Social Worker
NPI 1932722949
75 N 1ST ST
Scottsburg, IN 47170
(812) 752-2837
✔ PECOS18 mi
Family Practice
NPI 1427036474
260 S MAPLE ST
Orleans, IN 47452
(812) 865-3350
✔ PECOS20 mi
Nurse Practitioner
NPI 1912359860
260 S MAPLE ST
Orleans, IN 47452
(812) 865-3350
✔ PECOS✔ Accepts Medicare20 mi
Mental Health Counselor
NPI 1043819915
488 W HOSPITAL RD
Paoli, IN 47454
(812) 723-4305
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1336827468
6710 HIGHWAY 311
Sellersburg, IN 47172
(812) 246-2241
✔ PECOS✔ Accepts Medicare23 mi
Family Practice
NPI 1609987833
5130 CHARLESTOWN RD SUITE 1
New Albany, IN 47150
(812) 949-0140
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1841673753
2708 PAOLI PIKE STE I
New Albany, IN 47150
(812) 725-7894
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1497314231
422 N NAPPER RD
Lexington, IN 47138
(812) 889-2196
✔ PECOS23 mi
See all 176 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2128168

Salem Community Medical Services · Salem, IN
Active · expires Mar 26, 2027
CLIA Number15D2128168
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDorothy Clerici
Laboratory Phone(812) 206-1362
Laboratory LocationSalem Community Medical Services1321 S Jackson Street, Salem, IN 47167
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifespring Inc's NPI number?

The NPI number for Lifespring Inc is 1568907673. It was assigned to this organization in the NPPES registry on December 28, 2016. The provider is doing business as Salem Community Medical Services.

Where is Lifespring Inc located?

Lifespring Inc is located at 1321 S Jackson St, Salem, IN 47167. The listed phone number is (812) 883-3095.

What is Lifespring Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Lifespring Inc enrolled in Medicare?

Yes. Lifespring Inc is registered in the Medicare PECOS enrollment system.

When is Lifespring Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Lifespring Inc holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by January 31, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Lifespring Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 176 clinicians in 8 Medicare specialties reassign their Medicare billing to Lifespring Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (98), Nurse Practitioner (45) and Mental Health Counselor (11). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lifespring Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2128168) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lifespring Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Lifespring Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifespring Inc was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.