MEDICARE: IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1083881312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION

Provider Business Mailing Address
First Line	:	305 N 5TH ST
Second Line	:
City	:	IRONTON
State	:	OH
Zip	:	45638-1578
Country	:	US
Telephone Number	:	740-532-3534
Fax Number	:

Provider Business Practice Location Address
First Line	:	717 3RD AVE
Second Line	:
City	:	CHESAPEAKE
State	:	OH
Zip	:	45619-1080
Country	:	US
Telephone Number	:	740-867-6687
Fax Number	:	740-867-5555

Authorized Official
Title or Position	:	CEO
Name	:	DONALD R GOSSETT
Credential	:
Telephone Number	:	740-532-3534

Provider Enumeration Date	:	05/15/2008
Last Update Date	:	12/15/2025

Similar Medicare Providers

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Directions to “IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION ” Practice Location

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