NPIMap

Organization Active NPI

Ironton & Lawrence County Area Community Action Organization

Doing business as Proctorville Health Care Center

  • Primary Care Clinic/Center
  • Proctorville, OH
National Provider Identifier
1700133204
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
Doing business as
Proctorville Health Care Center
Practice address
10777 County Road 107
Proctorville, OH 45669-8130
Phone
(740) 302-0541
Fax
(740) 886-0255
NPI assigned
Aug 14, 2012
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

10777 County Road 107
Proctorville, OH 45669-8130

Mailing address

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

Other names 1

  • Proctorville Health Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130404000170 OH Part B Supplier - Clinic/Group Practice 8820902497 Receives reassigned benefits from 43 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ironton, OH; Proctorville, OH

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Tax ID family
Ironton Law Cao Fam Med21 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

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1700133204",
    "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": "10777 COUNTY ROAD 107",
            "city": "PROCTORVILLE",
            "state": "OH",
            "postal_code": "456698130",
            "telephone_number": "740-302-0541",
            "fax_number": "740-886-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "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": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proctorville Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Proctorville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.