Organization
LOWER LIGHTS CHRISTIAN HEALTH CENTER, INC
Active
Other names
Vineyard Cooper Rd Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD OSBORNE (CREDENTIALING SPECIALIST)
(614) 274-1544
Entity
Organization
Contact information
Practice address
6000 COOPER RD, WESTERVILLE, OH 43081-8984
(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
—
0455614
—
OH
Enumeration date
12/20/2013
Last updated
03/11/2022
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