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NPI Code Detail

MEDICARE: SPRINGHEALTH INTEGRATED CARE, INC.

MEDICARE: SPRINGHEALTH INTEGRATED CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyKY

General Provider Information

NPI Number : 1831519529
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRINGHEALTH INTEGRATED CARE, INC.
Provider Business Mailing Address
First Line : 11401 BLUEGRASS PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-2349
Country : US
Telephone Number : 502-394-2100
Fax Number :
Provider Business Practice Location Address
First Line : 11401 BLUEGRASS PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-2349
Country : US
Telephone Number : 502-394-2100
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF LICENSURE ENROLLMENT
Name : ANGIE MATTINGLY
Credential :
Telephone Number : 502-394-2100
Provider Enumeration Date : 04/21/2014
Last Update Date : 07/18/2025

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