MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 7164
Change Report (if Any):

Short Name: MERIDIA S POINT

Long Name 1: MERIDIA SOUTH POINTE HOSPITAL
Long Name 2:

Address 1: 4110 WARRENSVILLE CENTER ROAD
Address 2: BLDG A

City: WARRENSVILLE HTS
Zip Code: 44122
County: CUYA

Contact: PATRICIA BROWN
Title: DIR
Phone: 2167617990
FAX: .

Vendor: 10368

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016