UPI (Provider ID): 12583
Change Report (if Any):

Short Name: POMEGRANATE

Long Name 1: POMEGRANATE HEALTH SYSTEMS OF
Long Name 2: SOUTH EASTERN OHIO INC

Address 1: 60691 SOUTHGATE ROAD
Address 2:

City: BYESVILLE
Zip Code: 43723
County: GUER

Contact: BILLING DEPT
Title:
Phone: 7406954026
FAX: 7404397086

Vendor: 12583

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012