UPI (Provider ID): 3811
Change Report (if Any):

Short Name: RIVERSIDE HOSP

Long Name 1: RIVERSIDE METHODIST HOSPITALS
Long Name 2: OHIO HEALTH

Address 1: 3535 OLENTANGY RIVER ROAD
Address 2:

City: COLUMBUS
Zip Code: 43214
County: FRAN

Contact: JUDY HERENDEEN
Title: DIR
Phone: 6145665000
FAX: 6142652669

Vendor: 3811

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012