UPI (Provider ID): 11005
Change Report (if Any):

Short Name: NE OH HURON HOS

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

Address 1: 13951 TERRACE ROAD
Address 2:

City: EAST CLEVELAND
Zip Code: 44112
County: CUYA

Contact: RAVI VELU
Title:
Phone: 2168316466
FAX: 2167666083

Vendor: 6070

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016