UPI (Provider ID): 1686
Change Report (if Any):

Short Name: FAIRFIELD M C

Long Name 1: FAIRFIELD MEDICAL CENTER
Long Name 2:

Address 1: 401 NORTH EWING STREET
Address 2:

City: LANCASTER
Zip Code: 43130
County: FAIR

Contact: JOSEPH MCKELVEY
Title: AD
Phone: 7406878000
FAX: 7406540567

Vendor: 1686

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012