NPIMap

Organization Active NPI

Lower Lights Christian Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
National Provider Identifier
1962880823
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 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
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dana Vallangeon, MD
Title
Ceo
Phone
(614) 274-1455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160105000235 OH Part A Provider - Federally Qualified Health Center (FQHC) 5193794188 Practice locations: Columbus, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962880823. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Nov 14, 2001 in OH
Enrollment address
3000 Corporate Exchange Dr
FL 5
Columbus, OH 43231-7689

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Lower Lights Christian13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michelle Love Individual Corporate DirectorBoard Member Mar 1, 2018
Linda Hines Individual Corporate DirectorBoard Member Mar 1, 2018
Tracy Cloud Individual Corporate OfficerCeo Mar 1, 2018
Kelley Oneil Individual Corporate OfficerCfo Oct 1, 2017
W-2 Managing EmployeeCfo Oct 1, 2017
Melodie Gee Individual Corporate OfficerCQD May 1, 2016
Pauline Edwards Individual Corporate Director Jul 1, 2010
Jennifer Higgins Individual Corporate OfficerCoo Dec 1, 2017
Ellen Baugh Individual Corporate DirectorBoard Member Mar 1, 2018
Elizabeth Bitonte Individual Corporate DirectorBoard Member Mar 1, 2018
Michael Corey Individual Corporate DirectorBoard Member Mar 1, 2018
Jennifer Diamond Individual Corporate DirectorBoard Member Mar 1, 2018

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lower Lights Christian Health Center IncColumbus, OH, CCN 361011 Federally qualified health center Operational/Managerial Control Nov 15, 2001

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Sources for this page

Verify at the official NPI Registry.