UPI (Provider ID): 1175
Change Report (if Any):

Short Name: COLS HEALTH DPT

Long Name 1: COLUMBUS HEALTH DEPARTMENT
Long Name 2:

Address 1: 240 PARSONS AVENUE
Address 2:

City: COLUMBUS
Zip Code: 432155331
County: FRAN

Contact: LILA JANE HANDSCHUMA
Title: MG
Phone: 6146456070
FAX: 6146451482

Vendor: 1175

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012