| Lower Lights Christian Health Center, Inc. | |
|
777 W State St Suite 201 Columbus OH 43222-1536 | |
| (614) 274-1455 | |
| (614) 274-1433 |
| Full Name | Lower Lights Christian Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 777 W State St, Columbus, Ohio |
| Authorized Official Name and Position | Michelle Armstrong (BILLING DIRECTOR) |
| Authorized Official Contact | 6142741455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lower Lights Christian Health Center, Inc. 1160 W Broad St Columbus OH 43222-1352 Ph: (614) 274-1455 | Lower Lights Christian Health Center, Inc. 777 W State St Suite 201 Columbus OH 43222-1536 Ph: (614) 274-1455 |
| NPI Number | 1154630408 |
|---|---|
| Provider Enumeration Date | 10/05/2010 |
| Last Update Date | 03/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154630408 | NPI | - | NPPES |
| 3132407 | Medicaid | OH | |
| 9319022 | Other | OH | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (Ohio) | Primary |
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