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Organization

LOWER LIGHTS CHRISTIAN HEALTH CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANA SUE VALLANGEON MD (CEO)
(614) 272-7639
Entity
Organization

Contact information

Practice address
777 W STATE ST, SUITE 201, COLUMBUS, OH 43222-1536
(614) 234-5953
(614) 274-1433
Mailing address
1251 W BROAD ST, COLUMBUS, OH 43222-1359
(614) 274-1455
(614) 274-1433

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
361982
MEDICARE
OH
Enumeration date
05/11/2012
Last updated
05/11/2012
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