MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 11199
Change Report (if Any):

Short Name: HMIH-CUYA

Long Name 1: HEALTHCARE MANAGEMENT AND
Long Name 2: INVESTMENT HOLDINGS

Address 1: 20600 CHAGRIN BLVD SUITE 620
Address 2:

City: SHAKER HEIGHTS
Zip Code: 441225340
County: CUYA

Contact: WILLIE FELTS
Title: CFO
Phone: 2167514762
FAX: 2167515894

Vendor: 11199

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016