UPI (Provider ID): 1794
Change Report (if Any):

Short Name: MERIDIA-CLEVE

Long Name 1: MERIDIA HURON HOSPITAL
Long Name 2: MERIDIA RECOVERY CENTER

Address 1: 13951 TERRACE ROAD
Address 2:

City: EAST CLEVELAND
Zip Code: 44112
County: CUYA

Contact: PATRICIA BROWN
Title: DIR
Phone: 2167613300
FAX: .

Vendor: 10368

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016