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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | OH | Hospital Units |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SOUTHERN OHIO MEDICAL CENTER | 1248 Kinneys Ln, Portsmouth, OH 45662-2927 |
Street Address |
1805 27TH ST |
City | PORTSMOUTH |
State | OH |
Zip Code | 45662-2640 |
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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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 |
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Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
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. |
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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 |
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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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City | PORTSMOUTH |
Zip Code | 45662 |
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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.