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Organization
SOMC MEDICAL CARE FOUNDATION, INC.
Active
Organization
SOMC MEDICAL CARE FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA L FITE CMPE (ADMINISTRATIVE DIRECTOR)
(740) 356-8008
Entity
Organization
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-8681
(740) 356-1256
Mailing address
1735 27TH ST, WALLER BUILDING, SUITE B06, PORTSMOUTH, OH 45662-2677
(740) 356-8008
(740) 356-1256
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208600000X
Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
231H00000X
Audiologist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0916512
—
OH
05
—
65921835
—
KY
Enumeration date
08/22/2006
Last updated
01/30/2024
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