MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 1406
Change Report (if Any):

Short Name: UNIFIED HEALTH

Long Name 1: UNIFIED HEALTH SOLUTIONS INC
Long Name 2:

Address 1: 1133 EDWIN C MOSES BLVD
Address 2: SUITE 308

City: DAYTON
Zip Code: 45408
County: MONT

Contact: LORI SEWARD
Title: CEO
Phone: 9372206600
FAX: 9372206609

Vendor: 1406

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 03/22/2012

File Produced: 19MAY2012