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SOUTHERN OHIO HEALTH SERVICES NETWORK NPI 1770511511


NPI Information

NPI: 1770511511
Provider Name: SOUTHERN OHIO HEALTH SERVICES NETWORK

Doing Business As: SOUTHERN OHIO WOMEN'S HEALTH

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 36D2230965

Address:
5162 ST. RT. 125
GEORGETOWN, OH
ZIP 45121
Phone: (937) 378-3633
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SOUTHERN OHIO HEALTH SERVICES NETWORK is an obstetrics gynecology in Georgetown, OH. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SOUTHERN OHIO HEALTH SERVICES NETWORK NPI is 1770511511. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southern Ohio Women's Health.

The provider's business location address is:

5162 ST. RT. 125
GEORGETOWN, OH
ZIP 45121
Phone: (937) 378-3633
Fax: (937) 378-6153

The provider's authorized official is David J. Mauch .
The authorized official title is Senior Vice President Finance and has the following contact phone number (513) 576-7700.

The CLIA number assigned to this NPI record is 36D2230965 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10824255MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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