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 STREET, 2ND FLOOR, PORTSMOUTH, OH 45662
(740) 356-8560
(740) 354-6421
Mailing address
1087 DENNISON AVE, 4TH FLOOR WEST, COLUMBUS, OH 43201-3201
(614) 544-5696
(614) 544-5820
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7892571
—
OH
Enumeration date
07/06/2006
Last updated
08/22/2020
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