Organization
LIGHTHOUSE COMMUNITY HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FINNY MATHEW (PREIDENT)
(434) 847-5050
Entity
Organization
Contact information
Practice address
1310 CHURCH ST, LYNCHBURG, VA 24504-4604
(434) 847-5050
Mailing address
1310 CHURCH ST, LYNCHBURG, VA 24504-4604
(434) 847-5050
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/25/2021
Last updated
06/05/2023
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