MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10334
Change Report (if Any):

Short Name: LAURELWOOD-CEDR

Long Name 1: LAURELWOOD HOSPITAL
Long Name 2:

Address 1: 26900 CEDAR ROAD
Address 2: SUITE 23N

City: BEACHWOOD
Zip Code: 44122
County: CUYA

Contact: KATHY SPEVAK
Title:
Phone: 4409533000
FAX: 4409533344

Vendor: 10518

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016