UPI (Provider ID): 2589
Change Report (if Any):

Short Name: NETCARE

Long Name 1: NETCARE CORPORATION
Long Name 2: NETCARE ACCESS WEST

Address 1: 199 SOUTH CENTRAL AVENUE
Address 2:

City: COLUMBUS
Zip Code: 432235300
County: FRAN

Contact: VICKIE DAVIS
Title: MGR
Phone: 6142749500
FAX: 6142790925

Vendor: 2589

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/06/2011

File Produced: 19MAY2012