UPI (Provider ID): 6944
Change Report (if Any):

Short Name: MERIDIA-EUCLID

Long Name 1: EUCLID HOSPITAL
Long Name 2:

Address 1: MEDICAL OFFICE BUILDING
Address 2: 99 NORTH LINE CIRCLE SUITE 211

City: EUCLID
Zip Code: 44119
County: CUYA

Contact: PATRICIA BROWN
Title: DIR
Phone: 2166928801
FAX: .

Vendor: 10368

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016