MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 1508
Change Report (if Any):

Short Name: COMUNITY HEALTH

Long Name 1: COMMUNITY HEALTH CENTER
Long Name 2:

Address 1: 725 EAST MARKET STREET
Address 2:

City: AKRON
Zip Code: 44305
County: SUMM

Contact: THEODORE ZIEGLER
Title:
Phone: 3304344141
FAX: 3309965142

Vendor: 1508

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 04/26/2012

File Produced: 14JUL2016