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Contact Information

SOUTHERN OHIO MEDICAL CENTER
1805 27TH ST
PORTSMOUTH, OH45662-2640
 Phone: 740-356-8044
 Fax: 740-356-6393
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SOUTHERN OHIO MEDICAL CENTER

NPI # 1093751984
LBN Legal business name SOUTHERN OHIO MEDICAL CENTER
Authorized official RORY PHILLIPS - (DIR OF PHCY)
Entity Organization
Organization subpart 1 No
Enumeration date 06/21/2006
Last updated 08/19/2016 - About 10 years ago
Identifiers
OH License # HOS.020040650-03
Other 2076807 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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