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Organization

LOWER LIGHTS CHRISTIAN HEALTH CENTER, INC

Active
Other names
Union Star Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
CLIFFORD OSBORNE (CREDENTIALING SPECIALIST)
(614) 274-1544
Entity
Organization

Contact information

Practice address
773 S WALNUT ST, MARYSVILLE, OH 43040-1643
(614) 274-1455
(614) 274-1433
Mailing address
1160 W BROAD ST, COLUMBUS, OH 43222-1317
(614) 274-1455
(614) 274-1433

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0455637
OH
Enumeration date
06/18/2013
Last updated
03/11/2022
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