UPI (Provider ID): 1274
Change Report (if Any):

Short Name: CATH SOC-SW

Long Name 1: CATHOLIC CHARITIES OF
Long Name 2: SOUTHWESTERN OHIO

Address 1: 100 EAST 8TH STREET
Address 2:

City: CINCINNATI
Zip Code: 452022102
County: HAMI

Contact: PENELOPE ORR
Title: MG
Phone: 5132417745
FAX: 5132414333

Vendor: 1274

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/06/2011

File Produced: 19MAY2012