UPI (Provider ID): 1290
Change Report (if Any):

Short Name: CENTURY-SOUTH

Long Name 1: CENTURY HEALTH SOUTH CAMPUS
Long Name 2:

Address 1: 1918 NORTH MAIN STREET
Address 2:

City: FINDLAY
Zip Code: 45840
County: HANC

Contact: CAROL FREY
Title: FIN
Phone: 4194255050
FAX: 4194234092

Vendor: 1290

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 02/27/2012

File Produced: 19MAY2012