Organization Name: | IRONTON & LAWRENCE COUNTYAREA COMMUNITY ACTION ORGANIZATION |
NPI Number: | 1629245956 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY J LEWIS (DIRECTOR OF MEDICAL SERVICES) |
Mailing Address: | 55 Township Road 508 E South Point |
State: | OH US |
Postal Code: | 456807276 |
Phone Number: | 7403772712 |
Fax Number: | 7403772588 |
NPI Enumeration Date: | 05/15/2008 |
NPI Last Update Date: | 07/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |