MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 3559
Change Report (if Any):

Short Name: SHERIFF-HENR

Long Name 1: HENRY COUNTY SHERIFFS OFFICE
Long Name 2:

Address 1: 123 EAST WASHINGTON STREET
Address 2:

City: NAPOLEON
Zip Code: 43545
County: HENR

Contact: JOHN NYE
Title: SHER
Phone: 4195928010
FAX: 4195926915

Vendor: 3559

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012