UPI (Provider ID): 10151
Change Report (if Any):

Short Name: ST JOSEPH-HAMI

Long Name 1: ST JOSEPH ORPHANAGE
Long Name 2:

Address 1: 5400 EDALBERT DRIVE
Address 2:

City: CINCINNATI
Zip Code: 45239
County: HAMI

Contact: GAIL MCMAHAN
Title: CFO
Phone: 5137413100
FAX: 5137411360

Vendor: 10151

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/08/2011

File Produced: 19MAY2012