SOUTHERN OHIO MEDICAL CENTER (NPI# 1174862676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174862676 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OHIO MEDICAL CENTER |
| Practice Address |
207 Plummers Ln Suite 12 Vanceburg KY 41179-7683 |
| Practice Telephone | 6067960056 |
| Practice Fax Number | 6067960059 |
| Mailing Telephone | 6067960056 |
| Mailing Fax Number | 6067960059 |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-05-15 |
| Authorized Official Name | DEAN WRAY (CFO, VP OF FINANCE) |
| Authorized Official Telephone | 7403568540 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHERN OHIO MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | KY | Agencies |
| 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 |
| 1144578436 | Southern Ohio Medical Center | Psychiatric Unit | 1805 27th St, Portsmouth, OH 45662-2640 | 2012-08-17 |
| 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 |
207 PLUMMERS LN SUITE 12 |
| City | VANCEBURG |
| State | KY |
| Zip Code | 41179-7683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790897890 | Professional Care Pharmacy Inc | Pharmacy | 207 Plummers Ln, Ste A, Vanceburg, KY 41179-7683 | 2006-08-31 |
| 1356851893 | Ray A Ervin | Nurse Practitioner | 207 Plummers Ln, Vanceburg, KY 41179-7683 | 2017-10-11 |
| 1962806125 | Adriann Cooper | Nurse Practitioner | 207 Plummers Ln, Vanceburg, KY 41179-7683 | 2014-10-17 |
| 1245545706 | Somc Medical Care Foundation, Inc. | Family Medicine | 207 Plummers Ln, Vanceburg, KY 41179-7683 | 2010-08-09 |
| 1194981969 | Arica Nicole Donini | Nurse Practitioner | 207 Plummers Ln, Vanceburg, KY 41179-7683 | 2008-07-31 |
| 1083811640 | Sarah Grace Porter | Family Medicine | 207 Plummers Ln, Vanceburg, KY 41179-7683 | 2007-06-28 |
| 1588703086 | Frances Mary Keating | Family Medicine | 207 Plummers Ln, Vanceburg, KY 41179-7683 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033731278 | Seth Carroll | Pharmacist | Lewis County Primary Care Center, 211 Ky 59, Vanceburg, KY 41179 | 2020-05-11 |
| 1326699430 | Jackie Kelley | Technician | 19750 Ky 59, Vanceburg, KY 41179 | 2019-09-20 |
| 1487092862 | Portsmouth Emergency Ambulance Service Inc | Ambulance | 1006 Fairlane Drive, Vanceburg, KY 41179 | 2013-06-07 |
| 1740443050 | Glenda J Gayheart | Early Intervention Provider Agency | 8385 E Ky8, Vanceburg, KY 41179 | 2008-07-07 |
| 1568651016 | John D. O'cull Dentistry P.s.c. | Dentist | Rural Route 3037, Vanceburg, KY 41179 | 2007-10-22 |
| 1225237472 | Mary K. Mcclurg | Case Manager/Care Coordinator | Aa Highway, Vanceburg, KY 41179 | 2007-07-17 |
| 1295952604 | Lewis County Health Dept | Public Health or Welfare | 185 Commercial Drive, Lewis County Health Department, Vanceburg, KY 41179 | 2007-04-19 |
| 1982749032 | John D O'cull | Dentist | Route 3037, Vanceburg, KY 41179 | 2007-02-20 |
| 1275681934 | Martha L Parker | Dietitian, Registered | Rt 3 Box 31, Vanceburg, KY 41179 | 2007-01-08 |
| 1750320446 | Family Medical Center | Family Medicine | Hc 75 Box 1005, Vanceburg, KY 41179 | 2006-06-06 |
| Find all providers in zip 41179 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516582 | Global Hawk LLC | Home Health | 285 Mocks Creek Dr, Danville, KY 40422-9255 | 2020-10-25 |
| 1760081160 | A Tspoon of Healing Health Care Services LLC | Home Health | 3951 Bardstown Rd Ste 5, Louisville, KY 40218-2609 | 2020-10-19 |
| 1891393203 | Leliah Home Health | Home Health | 7911 Smyrna Parkkway, Louisville, KY 40228-1805 | 2020-10-16 |
| 1063010429 | Horizon Home Health Care, LLC | Home Health | 121 W Virginia Ave Ste 200c, Pineville, KY 40977-1662 | 2020-10-16 |
| 1366049587 | Nieman Home Care LLC | Home Health | 73 Cavalier Blvd Ste 127, Florence, KY 41042-5180 | 2020-10-01 |
| 1861008351 | Matthew Karmo | Home Health | 7911 Smyrna Pkwy, Louisville, KY 40228-1805 | 2020-09-20 |
| 1306456546 | Crystal Lache Young | Home Health | 6111 Leonard Way, Louisville, KY 40229-1405 | 2020-08-03 |
| 1750991972 | Comfortable Living LLC | Home Health | 870 Corporate Dr Ste 104, Lexington, KY 40503-5417 | 2020-08-03 |
| 1952919060 | Caring Partners | Home Health | 3609 Alexaxdria Pike, Cold Spring, KY 41076 | 2020-07-15 |
| 1629693130 | Brittiney Griffin | Home Health | 3418 Burrell Dr, Louisville, KY 40216-4373 | 2020-06-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTHERN OHIO MEDICAL CENTER.
| 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.