UPI (Provider ID): 7167
Change Report (if Any):

Short Name: ST VINCENT-INDP

Long Name 1: UHHS CSAHS CUYAHOGA INC
Long Name 2:

Address 1: 6701 ROCKSIDE ROAD SUITE 103
Address 2:

City: INDEPENDENCE
Zip Code: 44131
County: CUYA

Contact: ALLEN TRACY
Title: VP
Phone: 4407463401
FAX: 4407463405

Vendor: 7166

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016