UPI (Provider ID): 1164
Change Report (if Any):

Short Name: ST VINC FAMILY

Long Name 1: ST VINCENT FAMILY CENTERS
Long Name 2:

Address 1: 1490 EAST MAIN STREET
Address 2:

City: COLUMBUS
Zip Code: 43205
County: FRAN

Contact: MICHELLE HERITAGE WA
Title: CEO
Phone: 6142520731
FAX: 6142528468

Vendor: 1164

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/20/2011

File Produced: 19MAY2012