UPI (Provider ID): 2126
Change Report (if Any):

Short Name: CATH SOC-FRAN

Long Name 1: CATHOLIC SOCIAL SERVICES
Long Name 2:

Address 1: 197 EAST GAY STREET
Address 2:

City: COLUMBUS
Zip Code: 43215
County: FRAN

Contact: DEBBIE ROBERTS
Title: FISC
Phone: 6148571217
FAX: 6142281125

Vendor: 2126

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/20/2011

File Produced: 19MAY2012