MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 8018
Change Report (if Any):

Short Name: ST VINCENT-CLEV

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

Address 1: 2351 EAST 22ND STREET
Address 2:

City: CLEVELAND
Zip Code: 44115
County: CUYA

Contact: DONALD DAVIES
Title: EXEC
Phone: 2168616220
FAX: 4407463405

Vendor: 7166

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016