| Lower Lights Christian Health Center Inc | |
|
777 W State St Suite 201 Columbus OH 43222-1536 | |
| (614) 234-5953 | |
| (614) 274-1433 |
| Full Name | Lower Lights Christian Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 777 W State St, Columbus, Ohio |
| Authorized Official Name and Position | Dana Sue Vallangeon (CEO) |
| Authorized Official Contact | 6142727639 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lower Lights Christian Health Center Inc 1251 W Broad St Columbus OH 43222-1359 Ph: (614) 274-1455 | Lower Lights Christian Health Center Inc 777 W State St Suite 201 Columbus OH 43222-1536 Ph: (614) 234-5953 |
| NPI Number | 1144589193 |
|---|---|
| Provider Enumeration Date | 05/11/2012 |
| Last Update Date | 05/11/2012 |
| Medicare PECOS PAC ID | 5193794188 |
|---|---|
| Medicare Enrollment ID | O20111205000715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144589193 | NPI | - | NPPES |
| 361982 | Other | OH | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Ohio) | Primary |
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