MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10182
Change Report (if Any):

Short Name: BH PARTNERS

Long Name 1: BEHAVIORAL HEALTHCARE PARTNERS
Long Name 2: OF CENTRAL OHIO

Address 1: 65 MESSIMER DRIVE
Address 2:

City: NEWARK
Zip Code: 43055
County: LICK

Contact: LAURA MAXWELL
Title: DIR
Phone: 7407883400
FAX: 7407883401

Vendor: 10182

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/23/2011

File Produced: 19MAY2012