# SOUTHERN OHIO MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982635744
- **Authorized official:** MR. DEAN WRAY (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (740) 356-8540

## Contact information

- **Practice address:** 1805 27TH STREET, 2ND FLOOR, PORTSMOUTH, OH 45662
- **Practice address phone:** (740) 356-8560
- **Practice address fax:** (740) 354-6421
- **Mailing address:** 1087 DENNISON AVE, 4TH FLOOR WEST, COLUMBUS, OH 43201-3201
- **Mailing address phone:** (614) 544-5696
- **Mailing address fax:** (614) 544-5820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 08/22/2020