UPI (Provider ID): 1226
Change Report (if Any):

Short Name: MEMORIAL HOSP

Long Name 1: GREENE MEMORIAL HOSPITAL
Long Name 2:

Address 1: 1141 NORTH MONROE DRIVE
Address 2:

City: XENIA
Zip Code: 45385
County: GREE

Contact: ELIZABETH CRESWELL
Title: PGDIR
Phone: 9373728011
FAX: 9373747901

Vendor: 1226

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012