UPI (Provider ID): 10077
Change Report (if Any):

Short Name: CATH CHAR-ASHL

Long Name 1: CATHOLIC CHARITIES SERVICES
Long Name 2: CORPORATION

Address 1: 1260 CENTER STREET
Address 2:

City: ASHLAND
Zip Code: 44805
County: ASHL

Contact: MINDY GERRELL
Title: ACC
Phone: 4192891903
FAX: 4192818342

Vendor: 10092

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016