MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10245
Change Report (if Any):

Short Name: BRIDGEWAY-BRIDG

Long Name 1: BRIDGEWAY INC
Long Name 2:

Address 1: 4115 BRIDGE AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44113
County: CUYA

Contact: GENISE HERBERT
Title:
Phone: 2162814700
FAX: 2166342070

Vendor: 10509

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016