MEDICARE: LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437621331
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO, INC

Provider Business Mailing Address
First Line	:	245 N GRANT AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-2641
Country	:	US
Telephone Number	:	614-224-6617
Fax Number	:	614-221-0936

Provider Business Practice Location Address
First Line	:	2225 N. CASSADY AVENUE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-4321
Country	:	US
Telephone Number	:	614-224-7200
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL
Name	:	ALYSSA HUDDLESTON
Credential	:
Telephone Number	:	614-224-6617

Provider Enumeration Date	:	12/18/2018
Last Update Date	:	05/07/2026

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Directions to “LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO, INC ” Practice Location

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