NPIMap

Organization Active NPI

Ironton & Lawrence County Area Community Action Organization

Doing business as Chesapeake Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Chesapeake, OH
National Provider Identifier
1215014113
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
Doing business as
Chesapeake Family Medical Center
Practice address
717 3Rd Ave
Chesapeake, OH 45619-1080
Phone
(740) 867-6687
Fax
(740) 867-5555
NPI assigned
Nov 1, 2006
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald R Gossett
Title
Ceo
Phone
(740) 532-3534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

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 names 1

  • Chesapeake Family Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215014113. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Mar 15, 1965 in OH
Enrollment address
717 3Rd Ave
Chesapeake, OH 45619-1040

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ironton Lawrence Cao21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

55 Township Road 508 E
South Point, OH 45680
Phone (740) 377-2712

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeffery Cremeans Individual Corporate DirectorBoard Member May 1, 2025
Michael Gore Individual Corporate DirectorBoard Member Jan 1, 2024
Kimberly Royal Individual Corporate DirectorBoard Member May 1, 2024
Linda Holmes Individual Corporate DirectorBoard Member May 1, 2016
Harry Cain Individual W-2 Managing EmployeeCoo Sep 29, 2019
Donald Gossett Individual Corporate DirectorExecutive Director Jul 1, 2018
W-2 Managing Employee Jul 21, 2010
Mark Haas Individual Corporate DirectorBoard Member Jun 1, 2024
Peyton Hurn Individual W-2 Managing EmployeeDirector of Operations Mar 18, 2024
Lori Morris Individual Corporate DirectorBoard Member Jan 1, 2024
Dorothy Blevins Individual Corporate DirectorBoard Member Jan 1, 2024
Troy Hardy Individual Corporate DirectorBoard Member Apr 1, 2025
Judith Balmer Individual Corporate Director Jan 1, 2014
Jodi Rowe Collins Individual Corporate DirectorBoard Member Jan 1, 2024
Nancy Lewis Individual W-2 Managing EmployeeDirector of Health Apr 4, 1976
Julie Monroe Individual Corporate DirectorBoard Member Jan 1, 2024
Martha B Evans Individual Corporate OfficerBoard Member Nov 20, 2025
Samantha Jordan Individual W-2 Managing EmployeeRevenue Cycle Manager May 10, 2021
Karen Reed Individual Corporate Director Jul 21, 2010
Rachel Fraley Individual Corporate DirectorBoard Member Jan 1, 2024

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1215014113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 5TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381578",
            "telephone_number": "740-532-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 3RD AVE",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456191080",
            "telephone_number": "740-867-6687",
            "fax_number": "740-867-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "GOSSETT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-532-3534"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, OH

Sources for this page

Verify at the official NPI Registry.