MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 6817
Change Report (if Any):

Short Name: METROHEALTH

Long Name 1: METROHEALTH MEDICAL CENTER
Long Name 2:

Address 1: 2500 EAST 79TH STREET
Address 2:

City: CLEVELAND
Zip Code: 44104
County: CUYA

Contact: ELIZABETH JONES
Title:
Phone: 2163910514
FAX: 2164311739

Vendor: 10337

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016