# SOUTHERN OHIO MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOMC Cancer Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760799415
- **Authorized official:** MS. STEPHANIE LEAH CRAFT LSW/MSW (SOCIAL WORKER)
- **Authorized official phone:** (740) 356-7461

## Contact information

- **Practice address:** 1121 KINNEYS LN, PORTSMOUTH, OH 45662-2806
- **Practice address phone:** (740) 356-7461
- **Practice address fax:** (740) 356-7488
- **Mailing address:** 8635 STATE ROUTE 139, MINFORD, OH 45653-9000
- **Mailing address phone:** (740) 354-2989
- **Mailing address fax:** (740) 356-7488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | S 0700732 | OH | Yes |

## Other

- **Enumeration date:** 09/01/2010
- **Last updated:** 09/01/2010