UPI (Provider ID): 12607
Change Report (if Any):

Short Name: ACCESS OHIO

Long Name 1: ACCESS OHIO
Long Name 2:

Address 1: TWO MIRANOVA PLACE SUITE 390
Address 2:

City: COLUMBUS
Zip Code: 43215
County: FRAN

Contact: BELINDA STEVENS
Title: DIROP
Phone: 6142250400
FAX: 8009487705

Vendor: 12607

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/27/2011

File Produced: 19MAY2012