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NPI Code Detail

MEDICARE: IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION

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
1261QD0000XDental Clinic/Center
2261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1700133204
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 : 10777 COUNTY ROAD 107
Second Line :
City : PROCTORVILLE
State : OH
Zip : 45669-8130
Country : US
Telephone Number : 740-302-0541
Fax Number : 740-886-0255
Authorized Official
Title or Position : CEO
Name : DONALD R GOSSETT
Credential :
Telephone Number : 740-532-3534
Provider Enumeration Date : 08/14/2012
Last Update Date : 12/15/2025

Similar Medicare Providers

1912254574 — IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
Practice Location Address:
10777 COUNTY ROAD 107
PROCTORVILLE, OH
45669-8130
Practice Phone: 740-302-0541
Practice Fax: 740-886-0255
1194729111 — MRS. DONNA MARIE BOLDEN MD
Practice Location Address:
10777 COUNTY ROAD 107
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Practice Fax:
1265439384 — TAMELA R. KING C-FNP
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Practice Fax: 740-867-0017
1881653913 — MRS. NANCY J LEWIS C.P.N.P.
Practice Location Address:
10777 COUNTY ROAD 107
PROCTORVILLE, OH
45669-8130
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Practice Fax: 740-886-0255
1932526092 — LARIN LYNN REARDEN LSW
Practice Location Address:
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1538838503 — TESIA ABRENICA
Practice Location Address:
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Directions to “IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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