UPI (Provider ID): 10410
Change Report (if Any):

Short Name: NE OH ST JAMES

Long Name 1: NORTH EAST OHIO HEALTH SERVICE
Long Name 2:

Address 1: 2435 WEST SAINT JAMES PARKWAY
Address 2:

City: CLEVELAND HEIGHTS
Zip Code: 44106
County: CUYA

Contact: RAVI VELU
Title:
Phone: 2168316466
FAX: 2167666084

Vendor: 6070

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016