Organization
LOWER LIGHTS CHRISTIAN HEALTH CENTER INC.
Active
Organization
LOWER LIGHTS CHRISTIAN HEALTH CENTER INC.
Active
Other names
CRIS
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY CLOUD (CEO)
(614) 274-1455
Entity
Organization
Contact information
Practice address
4645 EXECUTIVE DR, COLUMBUS, OH 43220-3601
(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
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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