| Lower Lights Hope Resource Center | |
|
496 S Wheatland Ave Columbus OH 43204-3110 | |
| (614) 274-1455 | |
| (614) 274-1433 |
| Full Name | Lower Lights Hope Resource Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 496 S Wheatland Ave, Columbus, Ohio |
| Authorized Official Name and Position | Shelly Maurey (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6142741455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lower Lights Hope Resource Center 1160 W Broad St Columbus OH 43222-1352 Ph: (614) 274-1455 | Lower Lights Hope Resource Center 496 S Wheatland Ave Columbus OH 43204-3110 Ph: (614) 274-1455 |
| NPI Number | 1619541653 |
|---|---|
| Provider Enumeration Date | 05/14/2021 |
| Last Update Date | 06/08/2023 |
| Certification Date | 06/08/2023 |
| Medicare PECOS PAC ID | 5193794188 |
|---|---|
| Medicare Enrollment ID | O20211014002279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619541653 | NPI | - | NPPES |
| 0477976 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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