340B Drug Pricing Program Database
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DSH360008BR SOUTHERN OHIO MEDICAL CENTER (Active)
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Main Details
Name
SOUTHERN OHIO MEDICAL CENTER
Subdivision Name
NORTHWEST FAMILY PRACTICE - Northwest Clinic School
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360008BR
Medicare Provider Number
360008
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/14/2022
Participating Start Date
7/1/2022
Participating Approval Date
5/11/2022
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
812 MOHAWK DR
MC DERMOTT, OH 45652-9000
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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