Ironton & Lawrence County Area Community Action Organization

Organization Active NPI Primary Care Clinic/Center · Ironton, OH

NPI 1265699474 · NPPES record last updated Jul 13, 2010

Key facts

NPI
1265699474
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
Practice address
304 N 2ND St
Ironton, OH 45638-1491
Phone
(740) 532-2282
Fax
(740) 532-9412
NPI assigned
May 16, 2008
Organization subpart
No

Authorized official

Name
Nancy J Lewis, CPNP
Title
Director Health Services
Phone
(740) 532-3534

Other NPIs on the same Medicare enrollment 7

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Medicare enrollment records

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
This NPI is an additional NPI on the enrollment
Practice locations: Chesapeake, OH; South Point, OH

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Yes

Addresses

Primary practice location

304 N 2ND St
Ironton, OH 45638-1491

Mailing address

305 N 5TH St
Ironton, OH 45638-1578
Phone (740) 532-3534

Other names

  • IRONTON FAMILY MEDICAL CENTER Doing business as

Other providers in Ironton, OH

All providers in Ironton, OH · Primary Care Clinic/Center in Ohio

Sources for this page

Verify at the official NPI Registry.