| Southern Ohio Medical Center | |
|
1805 27th St Portsmouth OH 45662-2640 | |
| (740) 353-1105 | |
| Not Available |
| Full Name | Southern Ohio Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1805 27th St, Portsmouth, Ohio |
| Authorized Official Name and Position | Dean Wray (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7403565000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Ohio Medical Center 1248 Kinneys Ln Portsmouth OH 45662-2927 Ph: (740) 353-1105 | Southern Ohio Medical Center 1805 27th St Portsmouth OH 45662-2640 Ph: (740) 353-1105 |
| NPI Number | 1144578436 |
|---|---|
| Provider Enumeration Date | 08/17/2012 |
| Last Update Date | 08/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144578436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (Ohio) | Primary |
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