SOUTHERN OHIO MEDICAL CENTER


Address: 1805 27th St, Portsmouth, OH 45662-2640
Phone: 7403531105

SOUTHERN OHIO MEDICAL CENTER (NPI# 1144578436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144578436
Entity Type Organization
Organization Name SOUTHERN OHIO MEDICAL CENTER
Practice Address 1805 27th St
Portsmouth
OH 45662-2640
Mailing Address 1248 Kinneys Ln
Portsmouth
OH 45662-2927
Practice Telephone 7403531105
Mailing Telephone 7403531105
Enumeration Date 2012-08-17
Last Update Date 2012-08-17
Authorized Official Name MR. DEAN WRAY (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 7403565000
Is Organization Subpart Y
Parent Organization Name SOUTHERN OHIO MEDICAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273R00000X Psychiatric Unit OH Hospital Units

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1790716553 Southern Ohio Medical Center Home Health 724 8th Street, Portsmouth, OH 45662 2006-07-06
1053342816 Southern Ohio Medical Center Clinical Medical Laboratory 1805 27th Street, Portsmouth, OH 45662 2006-07-06
1790397784 Southern Ohio Medical Center Pharmacy 1805 27th St, Portsmouth, OH 45662-2640 2020-08-20
1962861047 Southern Ohio Medical Center Pharmacy 1248 Kinneys Ln, Portsmouth, OH 45662-2927 2016-02-17
1366816043 Southern Ohio Medical Center Pharmacy 8770 Ohio River Rd, Wheelersburg, OH 45694-1918 2015-11-18
1316341373 Southern Ohio Medical Center Pharmacy 1805 27th St, Portsmouth, OH 45662-2640 2014-10-20
1386059228 Southern Ohio Medical Center Pharmacy 90 Cic Blvd, West Union, OH 45693-8024 2014-06-30
1174862676 Southern Ohio Medical Center Home Health 207 Plummers Ln, Suite 12, Vanceburg, KY 41179-7683 2013-02-05
1760799415 Southern Ohio Medical Center General Acute Care Hospital 1121 Kinneys Ln, Portsmouth, OH 45662-2806 2010-09-01
1043420755 Southern Ohio Medical Center General Acute Care Hospital 1805 27th St, Portsmouth, OH 45662-2640 2007-05-23

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SOUTHERN OHIO MEDICAL CENTER 1248 Kinneys Ln, Portsmouth, OH 45662-2927

Office Location

Street Address 1805 27TH ST
City PORTSMOUTH
State OH
Zip Code 45662-2640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023011137 Loretta A Settonni Specialist 1805 27th St, Portsmouth, OH 45662-2640 2005-05-23
1184238453 Elizabeth Rose Swisher Pharmacist 1805 27th St, Portsmouth, OH 45662-2640 2020-09-03
1790397784 Southern Ohio Medical Center Pharmacy 1805 27th St, Portsmouth, OH 45662-2640 2020-08-20
1427676279 Edwiin D Parra Munoz Nurse Anesthetist, Certified Registered 1805 27th St, Portsmouth, OH 45662-2640 2020-07-08
1386262251 Charles Richard Roberts IIi Nurse Anesthetist, Certified Registered 1805 27th St, Portsmouth, OH 45662-2640 2020-07-08
1720619059 Lacie Jo Smith Nurse Practitioner 1805 27th St, Portsmouth, OH 45662-2640 2020-01-27
1730729450 Aaron Michael Meenach Nurse Practitioner 1805 27th St, Portsmouth, OH 45662-2640 2020-01-10
1386289411 Hope Ann Morgan Family Medicine 1805 27th St, Portsmouth, OH 45662-2640 2019-11-13
1053952994 Erika Valerie Lawson Nurse Practitioner 1805 27th St, Portsmouth, OH 45662-2640 2019-10-02
1114589413 David Taylor Newman Nurse Anesthetist, Certified Registered 1805 27th St, Portsmouth, OH 45662-2640 2019-07-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528613346 Stacia N Boyer Nurse Practitioner 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 2019-08-08
1487210167 Rose Speier Registered Nurse 920 Gallia Street, Portsmouth, OH 45662 2019-05-17
1083123491 Megan Rhea Case Manager/Care Coordinator 901 Wahington St, Portsmouth, OH 45662 2017-09-28
1376061903 Alanna Lee Reisinger Physical Therapist 522 Glenwood Ave., New Boston, OH 45662 2017-09-04
1871010967 Nicole Lynne Johnson Counselor 800 Gallia Street Suite 600, Portsmouth, OH 45662 2017-08-29
1629595822 William Zachary Nance Counselor 800 Gallia Street, Suite 600, Portsmouth, OH 45662 2017-08-28
1962929703 Melissa Rodbell Speech-Language Pathologist 514 Union St., Portsmouth, OH 45662 2017-08-23
1346604626 Todd Davis Counselor 2954 Walnut St., Portsmouth, OH 45662 2016-04-12
1083078406 Gordon Sanders Counselor 2954 Walnut Street, Portsmouth, OH 45662 2016-04-12
1033573910 Michael L Purdy Nurse Practitioner 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 2016-04-07
Find all providers in zip 45662

Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992205009 Hca Health Services of New Hampshire, Inc. Psychiatric Unit 333 Borthwick Ave, Portsmouth, NH 03801-4198 2018-02-15
1801802525 Maryview Hospital Psychiatric Unit 3636 High St, Portsmouth, VA 23707-3236 2006-08-01
1043257918 Hca Health Services of New Hampshire Inc Psychiatric Unit 333 Borthwick Ave, Portsmouth, NH 03801-7128 2006-06-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023630761 Winter Spring Health Services Psychiatric Unit 13509 Highlandview Ave, Cleveland, OH 44135-1622 2020-05-16
1447814942 Bluestone Child and Adolescent Psychiatric Hospital Psychiatric Unit 2575 S. Belvoir Blvd., University Heights, OH 44118 2019-04-30
1093256059 Usaf Psychiatric Unit 418 Shrewsbury St, Holland, OH 43528-8568 2017-03-10
1235493990 Mifflin Youth Group Psychiatric Unit 1688 Schrock Rd, Columbus, OH 43229-1500 2012-06-27
1851547392 Ipg Rs LLC Psychiatric Unit 17872 Lincoln Hwy, Middle Point, OH 45863-9700 2008-08-15
1649441817 Western Ohio Psychiatric Institute, LLC Psychiatric Unit 601 Edwin Moses Boulevard, Dayton, OH 45408 2008-03-17
1073568994 Windsor Hospital Psychiatric Unit 115 E Summit St, Chagrin Falls, OH 44022-2711 2006-05-23
1457314502 Medical University of Ohio At Toledo Psychiatric Unit 3000 Arlington Ave # Ms 1166, Toledo, OH 43614-2595 2006-04-10
1598765000 Defiance Hospital Inc. Psychiatric Unit 1200 Ralston Ave, Defiance, OH 43512-1396 2005-07-26
1053944967 University Hospitals Cleveland Medical Center Psychiatric Unit 5805 Euclid Ave Ste 100, Cleveland, OH 44103-3715 2020-02-19
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Competitor

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City PORTSMOUTH
Zip Code 45662

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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