UPI (Provider ID): 1849
Change Report (if Any):

Short Name: AMETHYST

Long Name 1: AMETHYST INC
Long Name 2:

Address 1: 455 EAST MOUND STREET
Address 2:

City: COLUMBUS
Zip Code: 43215
County: FRAN

Contact: JOHN CALLICOTTE
Title: CFO
Phone: 6142421284
FAX: 6142421285

Vendor: 1849

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 03/19/2012

File Produced: 19MAY2012