MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 1280
Change Report (if Any):

Short Name: VOLUNTEERS-HAMI

Long Name 1: VOLUNTEERS OF AMERICA
Long Name 2: OHIO RIVER VALLEY

Address 1: 115 WEST MCMICKEN STREET
Address 2:

City: CINCINNATI
Zip Code: 45202
County: HAMI

Contact: BONNIE CHANDLER
Title: ASST
Phone: 5133811954
FAX: 5133812171

Vendor: 10382

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012