UPI (Provider ID): 13051
Change Report (if Any):

Short Name: SUMMA - CANTON

Long Name 1: SUMMA HEALTH SYSTEM
Long Name 2: IGNATIA HALL SOUTH

Address 1: 1320 MERCY DRIVE NW
Address 2:

City: CANTON
Zip Code: 44708
County: STAR

Contact: GREER KABB-LANGKAMP
Title: MGR
Phone: 3304891233
FAX: 3304891121

Vendor: 1504

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 03/06/2012

File Produced: 19MAY2012