UPI (Provider ID): 2532
Change Report (if Any):

Short Name: BELMONT PINES

Long Name 1: BELMONT PINES HOSPITAL
Long Name 2:

Address 1: 615 CHURCHILL HUBBARD ROAD
Address 2:

City: YOUNGSTOWN
Zip Code: 44505
County: TRUM

Contact: JEANNE POWELL
Title: MAN
Phone: 3307592700
FAX: 3307592776

Vendor: 2532

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 02/27/2012

File Produced: 19MAY2012