NPIMap

Organization Active NPI

Ironton & Lawrence County Area Community Action Organization

Doing business as Aid Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Kitts Hill, OH
National Provider Identifier
1770839276
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
Aid Family Medical Center
Practice address
13804 State Route 141
Kitts Hill, OH 45645-8848
Phone
(740) 643-2082
Fax
(740) 643-2126
NPI assigned
Aug 2, 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 NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

13804 State Route 141
Kitts Hill, OH 45645-8848

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
0075241MedicaidOH
3810025679MedicaidWV
7100249640MedicaidKY

Other names 1

  • Aid 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
O20121015000430 OH Part A Provider - Federally Qualified Health Center (FQHC) 8820902497 Practice locations: Kitts Hill, OH
O20130507000299 OH Part B Supplier - Clinic/Group Practice 8820902497 Receives reassigned benefits from 28 practitioners
1 other NPI on this enrollment
Practice locations: Kitts Hill, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770839276. Details of each certification follow.

Federally qualified health center certification: CCN 361002

Legal name
IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
Doing business as
AID FAMILY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 15, 2012
Last certification
Oct 15, 2012
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Mar 15, 1965 in OH
Enrollment address
13804 State Route 141
Kitts Hill, OH 45645-8848

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 1

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

National Provider Directory

National Provider Directory
Tax ID family
Ironton Health Care Campus21 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

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 16, 2016
Harry Cain Individual W-2 Managing EmployeeCoo Sep 29, 2019
Donald Gossett Individual Corporate OfficerChief Executive Officer Sep 9, 2012
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 Jul 19, 2016
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, 2011
Jodi Rowe Collins Individual Corporate DirectorBoard Member Jan 1, 2024
Nancy Lewis Individual W-2 Managing Employee 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 Jan 1, 2011
Rachel Fraley Individual Corporate DirectorBoard Member Jan 1, 2024

Practitioners & affiliated clinicians

Practitioners 31

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 31

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1770839276",
    "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": "13804 STATE ROUTE 141",
            "city": "KITTS HILL",
            "state": "OH",
            "postal_code": "456458848",
            "telephone_number": "740-643-2082",
            "fax_number": "740-643-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075241",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810025679",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100249640",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aid Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kitts Hill, OH

Sources for this page

Verify at the official NPI Registry.