Organization
SOUTHERN OHIO MEDICAL CENTER
Active
Parent organization
SOUTHERN OHIO MEDICAL CENTER
Other names
Hospice of Southern Ohio
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN OHIO MEDICAL CENTER
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) 356-2651
(740) 356-2509
Mailing address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-7547
(740) 356-6170
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
315D00000X
Inpatient Hospice
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0820348
—
OH
Enumeration date
07/04/2006
Last updated
08/17/2020
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