Ironton & Lawrence County Area Community Action Organization
Organization Active NPI Federally Qualified Health Center (FQHC) · Chesapeake, OH
NPI 1215014113 · NPPES record last updated Dec 15, 2025
Key facts
- NPI
- 1215014113
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
- Practice address
- 717 3Rd Ave
Chesapeake, OH 45619-1080 - Phone
- (740) 867-6687
- Fax
- (740) 867-5555
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Donald R Gossett
- Title
- Ceo
- Phone
- (740) 532-3534
Other NPIs on the same Medicare enrollment 7
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 20
Practitioners 37
-
Sue E Adams, D.O.
-
Melissa Sue Callihan, APRN
-
Tamela R. King, C-FNP
-
Bonnie Renee Patrick, APRN
-
Kristina Rowe, PMHNP
-
Jacqueline Nicole Stumbo, APRN
-
Christi Pridemore, MS-LPCC-S
-
David Alan Apgar, DO, CMD
-
Kimberly Demattie, APRN-CNP, LSW
-
Tonnette Hoffman, CNP
-
Molly Johnson, NP
-
Vinod Miriyala, DDS, BDS, MPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH
Federally qualified health center certification: CCN 361851
- Legal name
- IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
- Doing business as
- CHESAPEAKE FAMILY MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 1, 1994
- Last certification
- Jan 1, 1994
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 15, 1965 in OH
- Enrollment address
- 717 3Rd Ave
Chesapeake, OH 45619-1040
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Jeffery Cremeans |
Corporate Director |
May 1, 2025 | |
| Michael Gore |
Corporate Director |
Jan 1, 2024 | |
| Kimberly Royal |
Corporate Director |
May 1, 2024 | |
| Linda Holmes |
Corporate Director |
May 1, 2016 | |
| Harry Cain |
W-2 Managing Employee |
Sep 29, 2019 | |
| Donald Gossett |
Corporate Director |
Jul 1, 2018 | |
| W-2 Managing Employee | Jul 21, 2010 | ||
| Mark Haas |
Corporate Director |
Jun 1, 2024 | |
| Peyton Hurn |
W-2 Managing Employee |
Mar 18, 2024 | |
| Lori Morris |
Corporate Director |
Jan 1, 2024 | |
| Dorothy Blevins |
Corporate Director |
Jan 1, 2024 | |
| Troy Hardy |
Corporate Director |
Apr 1, 2025 | |
| Judith Balmer |
Corporate Director | Jan 1, 2014 | |
| Jodi Rowe Collins |
Corporate Director |
Jan 1, 2024 | |
| Nancy Lewis |
W-2 Managing Employee |
Apr 4, 1976 | |
| Julie Monroe |
Corporate Director |
Jan 1, 2024 | |
| Martha B Evans |
Corporate Officer |
Nov 20, 2025 | |
| Samantha Jordan |
W-2 Managing Employee |
May 10, 2021 | |
| Karen Reed |
Corporate Director | Jul 21, 2010 | |
| Rachel Fraley |
Corporate Director |
Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100325000713 | OH | Part B Supplier - Public Health/Welfare Agency | 8820902497 |
Receives reassigned benefits from 28 practitioners 7 other NPIs on this enrollment Practice locations: Chesapeake, OH; South Point, OH |
| O20100618000629 | OH | Part a Provider - Federally Qualified Health Center (FQHC) | 8820902497 | Practice locations: Chesapeake, OH |
National Provider Directory
- Tax ID family
- Ironton Health Care Campus
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
717 3Rd Ave
Chesapeake, OH 45619-1080
Mailing address
305 N 5TH St
Ironton, OH 45638-1578
Phone (740) 532-3534
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0949308 | Medicaid | OH | |
| 3810014070 | Medicaid | WV | |
| 7100113390 | Medicaid | KY |
Other names
- Chesapeake Family Medical Center
Other providers in Chesapeake, OH
- Sara Mackenzie Hunt
- William N Hutchinson
- Briana Imes
- William B Ingram
- Ironton & Lawrence County Area Community Action Organization
- Jamecia L James
- Jeanette a. Little LLC
- Jason Jenkins
- Michelle Jenkins
- Jennifer L. Kendall, DDS., Inc.
All providers in Chesapeake, OH · Federally Qualified Health Center (FQHC) in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.