MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10159
Change Report (if Any):

Short Name: SALVATION-HAMI

Long Name 1: THE SALVATION ARMY
Long Name 2:

Address 1: 6381 CENTER HILL AVENUE
Address 2:

City: CINCINNATI
Zip Code: 45224
County: HAMI

Contact: MELINDA VORIS
Title: DIR
Phone: 5137625650
FAX: 5137625679

Vendor: 10160

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016