Lower Lights Christian Health Center INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Columbus, OH. Organization (NPI-2).
NPI number1043083751
StatusActive
Last updated in NPPESNov 3, 2023
Details
- NPI
- 1043083751
- Entity type
- Organization (NPI-2)
- Legal business name
- Lower Lights Christian Health Center INC.
- Organization subpart
- No
- Enumeration date
- Nov 3, 2023
- Certification date
- Nov 3, 2023
- Last updated
- Nov 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | |
| 104100000X | Social Worker | – | – | |
| 207Q00000X | Family Medicine | – | – |
Other names
- Cris (Other Name)
Practice location
4645 Executive DrColumbus, OH 43220-3601
Phone 614-274-1455 · Fax 614-274-1433
Mailing address
1160 W Broad StColumbus, OH 43222-1352
Phone 614-274-1455 · Fax 614-274-1433
Authorized official
Tracy Cloud
Ceo
6142741455
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