Organization
SOUTHERN OHIO MEDICAL CENTER
Active
Parent organization
SOUTHERN OHIO MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN OHIO MEDICAL CENTER
Authorized official
MR. DEAN WRAY (CHIEF FINANCIAL OFFICER)
(740) 356-5000
Entity
Organization
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 353-1105
Mailing address
1248 KINNEYS LN, PORTSMOUTH, OH 45662-2927
(740) 353-1105
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
OH
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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