Organization
SOUTHERN OHIO MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN WRAY (VICE PRESIDENT OF FINANCE)
(740) 356-8540
Entity
Organization
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-5000
(740) 353-2951
Mailing address
1248 KINNEYS LN, PORTSMOUTH, OH 45662-2927
(740) 356-8753
(740) 353-1105
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
291U00000X
Clinical Medical Laboratory
36D0350966
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7892571
—
OH
Enumeration date
07/06/2006
Last updated
03/27/2026
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