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CH05166E IRONTON AND LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION (Active)
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Main Details
Name
IRONTON AND LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
Subdivision Name
Proctorville Health Care Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012275
340B ID
CH05166E
Grant Number
H80CS00471
Additional Details
Current Program Status
Active
Registration Date
1/10/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/15/2013
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
IRONTON LAWRENCE COUNTY CAO
Kelly Adkins, Chief Financial Officer
(740) 532-3534 Ext: 12004
Primary Contact
IRONTON AND LAWRENCE COUNTY COMMUNITY ACTION ORGANIZATION
Samantha Jordan, Revenue Cycle Manager
(740) 532-3534 Ext: 12070
Addresses
Street Address
10777 County Road 107
Proctorville, OH 45669-8130
Billing Address
IRONTON AND LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
305 NORTH 5TH STREET
IRONTON, OH 45638
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2-13-13 F Nguyen received email from CEO attesting to be the Signed By official
02/15/2013
May 2025
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