MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 2957
Change Report (if Any):

Short Name: CMACAO

Long Name 1: COLUMBUS METROPOLITAN AREA
Long Name 2: COMMUNITY ACTION ORGANIZATION

Address 1: 700 BRYDEN ROAD
Address 2:

City: COLUMBUS
Zip Code: 43215
County: FRAN

Contact: GEORGE YIRGA
Title: EXDIR
Phone: 6143255100
FAX: 6143245155

Vendor: 2957

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012