UPI (Provider ID): 12165
Change Report (if Any):

Short Name: FOX RUN HOSP

Long Name 1: BHC FOX RUN HOSPITAL
Long Name 2:

Address 1: 67670 TRACO DRIVE
Address 2:

City: ST CLAIRSVILLE
Zip Code: 43950
County: BELM

Contact: SUSAN DEGARMO
Title:
Phone: 7406952131
FAX: 7406957158

Vendor: 12165

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 03/19/2012

File Produced: 19MAY2012