UPI (Provider ID): 11185
Change Report (if Any):

Short Name: CC-COLLEGE HILL

Long Name 1: CHILDRENS HOSPITAL MED CENTER
Long Name 2: CHILDRENS COLLEGE HILL CAMPUS

Address 1: 5642 HAMILTON AVENUE
Address 2:

City: CINCINNATI
Zip Code: 45224
County: HAMI

Contact: CHRIS LAH
Title: DIR
Phone: 5136369932
FAX: 5136364283

Vendor: 2357

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/15/2011

File Produced: 19MAY2012