Organization
IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
Active
Other names
Proctorville Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD R GOSSETT (CEO)
(740) 532-3534
Entity
Organization
Contact information
Practice address
10777 COUNTY ROAD 107, PROCTORVILLE, OH 45669-8130
(740) 302-0541
(740) 886-0255
Mailing address
305 N 5TH ST, IRONTON, OH 45638-1578
(740) 532-3534
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078529
—
OH
05
—
3810026147
—
WV
05
—
7100249710
—
KY
Enumeration date
08/13/2012
Last updated
12/15/2025
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