Organization Name: | IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION |
NPI Number: | 1093022287 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY J LEWIS (DIRECTOR OF HEALTH SERVICES) |
Mailing Address: | 1408 Campbell Dr Suite 201 Ironton |
State: | OH US |
Postal Code: | 456382301 |
Phone Number: | 7405349202 |
Fax Number: | 7405349327 |
NPI Enumeration Date: | 09/09/2010 |
NPI Last Update Date: | 01/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |