MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 1110
Change Report (if Any):

Short Name: METROHEALTH

Long Name 1: THE METROHEALTH SYSTEM
Long Name 2:

Address 1: 2500 METROHEALTH DRIVE
Address 2: HAMANN BUILDING 817A

City: CLEVELAND
Zip Code: 44109
County: CUYA

Contact: CAROL STUDER
Title: QISPC
Phone: 2167784641
FAX: 2167788412

Vendor: 10337

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 03/05/2012

File Produced: 14JUL2016