Lower Lights Christian Health Center Inc. | |
1160 W Broad St Columbus OH 43222-1317 | |
(614) 274-1455 | |
(614) 274-1433 |
Full Name | Lower Lights Christian Health Center Inc. |
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Speciality | Clinic/Center |
Location | 1160 W Broad St, Columbus, Ohio |
Authorized Official Name and Position | Dana S 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 |
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Lower Lights Christian Health Center Inc. 1160 W Broad St Columbus OH 43222-1352 Ph: (614) 274-1455 | Lower Lights Christian Health Center Inc. 1160 W Broad St Columbus OH 43222-1317 Ph: (614) 274-1455 |
NPI Number | 1770854473 |
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Provider Enumeration Date | 01/26/2012 |
Last Update Date | 10/30/2023 |
Medicare PECOS PAC ID | 5193794188 |
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Medicare Enrollment ID | O20121127000135 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770854473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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