Lower Lights Christian Health Center, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Columbus, OH
NPI 1962880823 · NPPES record last updated Mar 25, 2026
Key facts
- NPI
- 1962880823
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- LOWER LIGHTS CHRISTIAN HEALTH CENTER, INC
- Practice address
- 3000 Corporate Exchange Dr FL 5
Columbus, OH 43231-7689 - Phone
- (614) 274-1455
- Fax
- (614) 274-1433
- NPI assigned
- May 12, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Dana Vallangeon, MD
- Title
- Ceo
- Phone
- (614) 274-1455
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 12
Practitioners 27
-
Amanda Adepalli, MD
-
Kari K Barrows, CNP
-
John Boudouris, CNP
-
Emanuel Dolph, MD
-
Estefania Erb, FNP-C
-
Amber Everett, LISW
-
Jacqueline Michelle Hill, APRN-CNP
-
Elizabeth Kimball, FNP
-
Karen Marie O'Brien, LISW
-
Stephanie J Ott, M.D.
-
Kyle Edwin Pfeifer, MS, APRN, NP-C
-
Myles D. Spar, M.D.
-
Evan Kyo Tamura, MD
-
Raina Theiss, CNP
-
Robert Ryan Traylor, CRNP
-
Cynthia S Viles, LSW, PC
-
Sierra Wentzel, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Federally qualified health center certification: CCN 361094
- Legal name
- LOWER LIGHTS CHRISTIAN HEALTH CENTER INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 5, 2016
- Last certification
- Jan 5, 2016
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 14, 2001 in OH
- Enrollment address
- 3000 Corporate Exchange Dr
FL 5
Columbus, OH 43231-7689
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Michelle Love |
Corporate Director |
Mar 1, 2018 | |
| Linda Hines |
Corporate Director |
Mar 1, 2018 | |
| Tracy Cloud |
Corporate Officer |
Mar 1, 2018 | |
| Kelley Oneil |
Corporate Officer |
Oct 1, 2017 | |
| W-2 Managing Employee |
Oct 1, 2017 | ||
| Melodie Gee |
Corporate Officer |
May 1, 2016 | |
| Pauline Edwards |
Corporate Director | Jul 1, 2010 | |
| Jennifer Higgins |
Corporate Officer |
Dec 1, 2017 | |
| Ellen Baugh |
Corporate Director |
Mar 1, 2018 | |
| Elizabeth Bitonte |
Corporate Director |
Mar 1, 2018 | |
| Michael Corey |
Corporate Director |
Mar 1, 2018 | |
| Jennifer Diamond |
Corporate Director |
Mar 1, 2018 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Lower Lights Christian Health Center Inc |
Federally qualified health center | Operational/Managerial Control | Nov 15, 2001 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160105000235 | OH | Part a Provider - Federally Qualified Health Center (FQHC) | 5193794188 | Practice locations: Columbus, OH |
National Provider Directory
- Tax ID family
- Lower Lights Christian Health Center Inc
Locations
3000 Corporate Exchange Dr
Fl 5
Columbus, OH 43231
6000 Cooper Rd
Westerville, OH 43081
Phone (614) 259-5361
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
3000 Corporate Exchange Dr FL 5
Columbus, OH 43231-7689
Mailing address
1160 W Broad St
Columbus, OH 43222-1352
Phone (614) 274-1455
NPI Registry JSON
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774396800000",
"number": "1962880823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 W BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221352",
"telephone_number": "614-274-1455",
"fax_number": "614-274-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 CORPORATE EXCHANGE DR FL 5",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432317689",
"telephone_number": "614-274-1455",
"fax_number": "614-274-1433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOWER LIGHTS CHRISTIAN HEALTH CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-12",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A",
"authorized_official_last_name": "VALLANGEON",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "614-274-1455",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
- Lower Lights Christian Health Center Inc
- Lower Lights Christian Health Center Inc
- Lower Lights Christian Health Center Inc.
- Lower Lights Christian Health Center Inc.
- Lower Lights Christian Health Center, Inc
- Lower Lights Christian Health Center, Inc.
- Lower Lights Christian Health Center, Inc.
- Lower Lights Health Linden Pharmacy
- Lower Lights Northland Pharmacy
- Lower Lights Pharmacy
All providers in Columbus, OH · Federally Qualified Health Center (FQHC) 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 25, 2026. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.