UPI (Provider ID): 13096
Change Report (if Any):

Short Name: SUMM CO HEALTH

Long Name 1: SUMMIT COUNTY HEALTH DISTRICT
Long Name 2: COUNSELING SERVICES

Address 1: 177 SOUTH BROADWAY STREET
Address 2: SUITE 330

City: AKRON
Zip Code: 44308
County: SUMM

Contact: CAROL BOWES
Title: SPVSR
Phone: 3303752984
FAX: 3303752401

Vendor: 13096

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 03/26/2012

File Produced: 14JUL2016