UPI (Provider ID): 10627
Change Report (if Any):

Short Name: NE OH HLTH-MCCR

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

Address 1: 12300 MCCRACKEN ROAD
Address 2:

City: GARFIELD HEIGHTS
Zip Code: 44125
County: CUYA

Contact: RAVI VELU
Title:
Phone: 2165876727
FAX: 2165876726

Vendor: 6070

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016