UPI (Provider ID): 10213
Change Report (if Any):

Short Name: UTMC

Long Name 1: UNIVERSITY OF TOLEDO
Long Name 2: UNIVERSITY MEDICAL CENTER

Address 1: DEPARTMENT OF PSYCHIATRY
Address 2: 3120 GLENDALE AVENUE

City: TOLEDO
Zip Code: 436145809
County: LUCA

Contact: KARON PRICE
Title: MGR
Phone: 4193835695
FAX: 4193833031

Vendor: 10213

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/28/2011

File Produced: 19MAY2012