Active NPI
Lighthouse Community Health Services, LLC
- Community Health Clinic/Center
- Lynchburg, VA
National Provider Identifier
1487244364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- LIGHTHOUSE COMMUNITY HEALTH SERVICES, LLC
- Practice address
- 1310 Church St
Lynchburg, VA 24504-4604 - Phone
- (434) 847-5050
- NPI assigned
- Jan 25, 2021
- Last updated
- Jun 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Finny Mathew
- Title
- Preident
- Phone
- (434) 847-5050
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community Health Clinic/Center | 261QC1500X | Primary | ||
| Health Service Clinic/Center | 261QH0100X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
1310 Church St
Lynchburg, VA 24504-4604
Mailing address
1310 Church St
Lynchburg, VA 24504-4604
Phone (434) 847-5050
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Lighthouse Pharmacy
- Community/Retail Pharmacy
- New Canton, VA
- NPI 1598498180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685923200000",
"number": "1487244364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 CHURCH ST",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245044604",
"telephone_number": "434-847-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 CHURCH ST",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245044604",
"telephone_number": "434-847-5050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTHOUSE COMMUNITY HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-25",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A",
"authorized_official_last_name": "MATHEW",
"authorized_official_first_name": "FINNY",
"authorized_official_title_or_position": "PREIDENT",
"authorized_official_telephone_number": "434-847-5050",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.