MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 1329
Change Report (if Any):

Short Name: MARION HOSPITAL

Long Name 1: MARION GENERAL HOSPITAL
Long Name 2:

Address 1: 1000 MCKINLEY PARK DRIVE
Address 2: MENTAL HEALTH ANNEX

City: MARION
Zip Code: 43302
County: MARI

Contact: JEAN PIERCE
Title: PTACT
Phone: 7403837840
FAX: 7403837816

Vendor: 1329

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012