UPI (Provider ID): 10127
Change Report (if Any):

Short Name: CENTRAL COMM

Long Name 1: CENTRAL COMMUNITY HEALTH BOARD
Long Name 2:

Address 1: 532 MAXWELL AVENUE
Address 2:

City: CINCINNATI
Zip Code: 45219
County: HAMI

Contact: WILLIAM KAISER
Title: DED
Phone: 5135592000
FAX: 5135592020

Vendor: 10127

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/15/2011

File Produced: 19MAY2012