Organization
LOWER LIGHTS CHRISTIAN HEALTH CENTER INC
Active
Organization
LOWER LIGHTS CHRISTIAN HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY MAUREY (CREDENTIALING SPECIALIST)
(614) 274-1455
Entity
Organization
Contact information
Practice address
69 S TERRACE AVE, NEWARK, OH 43055
(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)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0477562
—
OH
Enumeration date
07/15/2021
Last updated
06/08/2023
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