| Organization Name: | SPRING STREET MEDICAL MINISTRY, LLC |
| NPI Number: | 1366657959 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY A DOWELL (BILLING MANAGER) |
| Mailing Address: | 4090 Main Street Southeast New Middletown |
| State: | IN US |
| Postal Code: | 47160 |
| Phone Number: | 8129683800 |
| Fax Number: | 8129683800 |
| NPI Enumeration Date: | 05/14/2007 |
| NPI Last Update Date: | 02/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |