UPI (Provider ID): 1936
Change Report (if Any):

Short Name: CSN-SE PSYC HOS

Long Name 1: APPALACHIAN PSYCHIATRIC
Long Name 2: HEALTHCARE SYSTEM

Address 1: 100 HOSPITAL DRIVE
Address 2:

City: ATHENS
Zip Code: 45701
County: ATHE

Contact: CHERYL OGG
Title:
Phone: 7405945000
FAX: 7405947604

Vendor: 3275

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016