Provider Demographics
NPI:1003119231
Name:IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
Entity Type:Organization
Organization Name:IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
Other - Org Name:LAWRENCE COUNTY TRANSIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:GOSSETT
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:740-532-3534
Mailing Address - Street 1:97 PRIVATE ROAD 80
Mailing Address - Street 2:
Mailing Address - City:SOUTH POINT
Mailing Address - State:OH
Mailing Address - Zip Code:45680-8973
Mailing Address - Country:US
Mailing Address - Phone:740-894-7430
Mailing Address - Fax:740-894-3541
Practice Address - Street 1:97 PRIVATE ROAD 80
Practice Address - Street 2:
Practice Address - City:SOUTH POINT
Practice Address - State:OH
Practice Address - Zip Code:45680-8973
Practice Address - Country:US
Practice Address - Phone:740-894-7430
Practice Address - Fax:740-894-3541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)