SOUTHERN OHIO MEDICAL CENTER
NPI 1043420755
General Acute Care Hospital - Rural in Portsmouth, OH
- Organization
- General Acute Care Hospital
- Rural
- CLIA Number: 36D1015942
- CLIA Cert. Type: Other
- CLIA Exp. Date: 06-27-2026
About SOUTHERN OHIO MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Southern Ohio Medical Center, a provider established in Portsmouth, Ohio operating as a General Acute Care Hospital, focusing in rural . The healthcare provider is registered in the NPI registry with number 1043420755 assigned on May 2007. The practitioner's primary taxonomy code is 282NR1301X with license number 03-3-13305 (OH). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ms. Janet Kay Murnahan Rph (Lead Pharmacist Out-patient)
- NPI
- 1043420755 Verify this NPI
- Provider Name
- SOUTHERN OHIO MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 1805 27TH ST PORTSMOUTH, OH 45662
- Location Phone
- (740) 356-8044
- Location Fax
- (740) 356-6393
- Mailing Address
- 1805 27TH ST PORTSMOUTH, OH 45662
- Mailing Phone
- (740) 356-8044
- Mailing Fax
- (740) 356-6393
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-23-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Acute Care Hospital Rural
- Taxonomy Code
- 282NR1301X
- Type
- Hospitals
- License No.
- 03-3-13305
- License State
- OH
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D1015942
- Facility Type
- Other
- Certificate Effective Date
- June 28, 2024
- Certificate Expiration Date
- June 27, 2026
- Laboratory Director
- DR. ESSAM KAZMOUZ
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Southern Ohio Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PORTSMOUTH, OH 45662
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043420755, enumerated as an "organization" on May 23, 2007.
The provider is located at 1805 27TH ST PORTSMOUTH, OH 45662 and the phone number is (740) 356-8044.
General Acute Care Hospital with taxonomy code 282NR1301X and a focus in Rural.
