UPI (Provider ID): 12762
Change Report (if Any):

Short Name: CATH CHAR-ASHL

Long Name 1: CATHOLIC CHARITIES OF
Long Name 2: ASHLAND COUNTY

Address 1: 1260 SOUTH CENTER STREET
Address 2:

City: ASHLAND
Zip Code: 44805
County: ASHL

Contact: TAMMY MATHEW
Title: ACCT
Phone: 4192891903
FAX: 4192818342

Vendor: 10092

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 01/07/2013

File Produced: 14JUL2016