UPI (Provider ID): 10026
Change Report (if Any):

Short Name: CHILD HOS MED

Long Name 1: CHILDRENS HOSPITAL MEDICAL
Long Name 2: CENTER OF AKRON

Address 1: ONE PERKINS SQUARE
Address 2:

City: AKRON
Zip Code: 44308
County: SUMM

Contact: VICKIE SMITH
Title:
Phone: 3305438598
FAX: 3305433856

Vendor: 10026

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/21/2011

File Produced: 14JUL2016