UPI (Provider ID): 10279
Change Report (if Any):

Short Name: MARSH FOUNDATIO

Long Name 1: THE MARSH FOUNDATION
Long Name 2:

Address 1: 1229 LINCOLN HIGHWAY
Address 2: PO BOX 150

City: VAN WERT
Zip Code: 45891
County: VANW

Contact: DAVID GIESEN
Title: DIR
Phone: 4192381695
FAX: 4192381747

Vendor: 10279

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/06/2011

File Produced: 19MAY2012