Healthcare Provider Details

I. General information

NPI: 1962880823
Provider Name (Legal Business Name): LOWER LIGHTS CHRISTIAN HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2015
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 CORPORATE EXCHANGE DR FL 5
COLUMBUS OH
43231-7689
US

IV. Provider business mailing address

1160 W BROAD ST
COLUMBUS OH
43222-1352
US

V. Phone/Fax

Practice location:
  • Phone: 614-274-1455
  • Fax: 614-274-1433
Mailing address:
  • Phone: 614-274-1455
  • Fax: 614-274-1433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. DANA VALLANGEON
Title or Position: CEO
Credential: MD
Phone: 614-274-1455