UPI (Provider ID): 10430
Change Report (if Any):

Short Name: NATIVE AM INDIA

Long Name 1: NATIVE AMERICAN INDIAN CENTER
Long Name 2: OF CENTRAL OHIO

Address 1: 67 EAST INNIS AVENUE
Address 2:

City: COLUMBUS
Zip Code: 432070705
County: FRAN

Contact: CAROL WELSH
Title: EXDIR
Phone: 6144436120
FAX: 6144432651

Vendor: 10430

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012