MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10289
Change Report (if Any):

Short Name: COLDWATER

Long Name 1: VILLAGE OF COLDWATER
Long Name 2:

Address 1: 303 WEST MAIN STREET
Address 2:

City: COLDWATER
Zip Code: 45828
County: MERC

Contact: GERY THOBE
Title: CHIEF
Phone: 4196782356
FAX: 4196788244

Vendor: 10289

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012