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LOWER LIGHTS CHRISTIAN HEALTH CENTER INC NPI 1699114108


NPI Information

NPI: 1699114108
Provider Name: LOWER LIGHTS CHRISTIAN HEALTH CENTER, INC

Doing Business As: UNION STAR HEALTH CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
773 S WALNUT ST
MARYSVILLE, OH
ZIP 43040
Phone: (614) 274-1455
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LOWER LIGHTS CHRISTIAN HEALTH CENTER, INC is a primary care clinic center in Marysville, OH. LOWER LIGHTS CHRISTIAN HEALTH CENTER, INC NPI is 1699114108. The provider is registered as an organization entity type.
The provider Is Doing Business As Union Star Health Center.

The provider's business location address is:

773 S WALNUT ST
MARYSVILLE, OH
ZIP 43040-643
Phone: (614) 274-1455
Fax: (614) 274-1433

The provider's authorized official is Clifford Osborne .
The authorized official title is Credentialing Specialist and has the following contact phone number (614) 274-1544.

The enumeration date for this NPI number is 6/18/2013 and was last updated on 3/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10455637MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.