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DSH360008AF SOUTHERN OHIO MEDICAL CENTER (Active)
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Main Details
Name
SOUTHERN OHIO MEDICAL CENTER
Subdivision Name
ENT Associates
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360008AF
Medicare Provider Number
360008
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/4/2014
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Southern Ohio Medical Center
Kara Plummer, Associate CFO, Administration
(740) 356-8880
Primary Contact
Southern Ohio Medical Center
Karen Elaine McGinnis, 340B Program Manager
(740) 356-6417
Addresses
Street Address
1611 27th Street
Fulton Building
Suite 202
Portsmouth, OH 45662
Billing Address
Southern Ohio Medical Center
1248 Kinneys Lane
Portsmouth, OH 45662-2927
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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