UPI (Provider ID): 12971
Change Report (if Any):

Short Name: POMEGRANATE HS

Long Name 1: POMEGRANATE HEALTH SYSTEMS OF
Long Name 2: CENTRAL OHIO

Address 1: 765 PIERCE DRIVE
Address 2:

City: COLUMBUS
Zip Code: 43223
County: FRAN

Contact: JANE MARSH
Title: CONTR
Phone: 6142231650
FAX: 8887277834

Vendor: 12971

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 03/07/2012

File Produced: 19MAY2012