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DSH360008AL SOUTHERN OHIO MEDICAL CENTER (Active)
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Main Details
Name
SOUTHERN OHIO MEDICAL CENTER
Subdivision Name
SOMC Sleep Medicine Associates
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360008AL
Medicare Provider Number
360008
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/11/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/25/2017
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
1735 27th Street
Waller Building
SUITE 102
Portsmouth, OH 45662
Billing Address
Southern Ohio Medical Center
1248 Kinneys Lane
Portsmouth, OH 45662
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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