Organization
LOWER LIGHTS CHRISTIAN HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY CLOUD (CEO)
(614) 274-1455
Entity
Organization
Contact information
Practice address
1160 W BROAD ST, COLUMBUS, OH 43222-1317
(614) 274-1455
(614) 274-1433
Mailing address
1160 W BROAD ST, COLUMBUS, OH 43222-1352
(614) 274-1455
(614) 274-1433
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2012
Last updated
03/11/2022
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