UPI (Provider ID): 6070
Change Report (if Any):

Short Name: NEOHS

Long Name 1: NORTH EAST OHIO HEALTH
Long Name 2: SERVICES

Address 1: 24200 CHAGRIN BLVD
Address 2:

City: BEACHWOOD
Zip Code: 44122
County: CUYA

Contact: ROKNEDIN SAFAVI
Title:
Phone: 2168316466
FAX: 2167666083

Vendor: 6070

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/14/2011

File Produced: 14JUL2016