Lower Lights Christian Health Center Inc
Organization Active NPI Clinic/Center · Columbus, OH
NPI 1992460950 · NPPES record last updated Nov 4, 2021
Key facts
- NPI
- 1992460950
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- LOWER LIGHTS CHRISTIAN HEALTH CENTER INC
- Practice address
- 2596 Sullivant Ave
Columbus, OH 43204-2909 - Phone
- (614) 274-1455
- Fax
- (614) 274-1433
- NPI assigned
- Nov 4, 2021
- Organization subpart
- No
Authorized official
- Name
- Michelle Armstrong
- Title
- Billing Director
- Phone
- (614) 274-1455
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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
2596 Sullivant Ave
Columbus, OH 43204-2909
Mailing address
2596 Sullivant Ave
Columbus, OH 43204-2909
Phone (614) 274-1455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0447187 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NextGen | Direct |
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 Christian Health Center Inc.
- Lower Lights Christian Health Center, Inc
- Lower Lights Christian Health Center, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2021. 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.