Lower Lights Christian Health Center, Inc
Organization Active NPI Primary Care Clinic/Center · Westerville, OH
NPI 1962823708 · NPPES record last updated Mar 11, 2022
Key facts
- NPI
- 1962823708
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- LOWER LIGHTS CHRISTIAN HEALTH CENTER, INC
- Practice address
- 6000 Cooper Rd
Westerville, OH 43081-8984 - Phone
- (614) 274-1455
- Fax
- (614) 274-1433
- NPI assigned
- Dec 20, 2013
- Organization subpart
- No
Authorized official
- Name
- Clifford Osborne
- Title
- Credentialing Specialist
- Phone
- (614) 274-1544
Other NPIs on the same Medicare enrollment 9
Practitioners 75
-
Amanda Adepalli, MD
-
Karen A Barnhart, CNP
-
Kari K Barrows, CNP
-
Susana Beceiro Casas, APRN-CNP
-
Michelle Lynn Begue, CNP
-
Amber Dawn Boice, NP-C
-
John Boudouris, CNP
-
Sarah Channell, NP-C
-
Susan Choe, DO
-
Mayra E Crotty, LISW
-
Jacqueline Goings Davis, O.D.
-
Ashley Degutis, NP
-
Rachel L. Demita, MD
-
Clarissa Jane Dilaveris, RD, LD
-
Emanuel Dolph, MD
-
Estefania Erb, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140702000762 | OH | Part B Supplier - Clinic/Group Practice | 5193794188 |
Receives reassigned benefits from 83 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Newark, OH; Westerville, OH; Marysville, OH; Columbus, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
6000 Cooper Rd
Westerville, OH 43081-8984
Mailing address
1160 W Broad St
Columbus, OH 43222-1317
Phone (614) 274-1455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0455614 | Medicaid | OH |
Other names
- Vineyard Cooper Rd Health Center
Other providers in Westerville, OH
- Loved & Heard Patient Care Advocate LLC
- David V Loveday
- Elizabeth G Loveday
- Madison Jayne Lovejoy
- Brianne Low
- Alyssa Lower
- Lukasz Lozanski
- Amy S Luba
- Hawa Agatha Luckay
- Robin Ludwig
All providers in Westerville, OH · Primary Care Clinic/Center in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.