UPI (Provider ID): 4836
Change Report (if Any):
Short Name: CONTACT-CRAW
Long Name 1: CONTACT INC
Long Name 2:
Address 1: PO BOX 631
Address 2:
City: BUCYRUS
Zip Code: 448200631
County: CRAW
Contact: JUDITH STRENG
Title: EX DR
Phone: 4195629099
FAX: 4195326855
Vendor: 4836
Reports Status: NO CLAIMS/
MACSIS Last Update Date: 11/29/2011
File Produced: 19MAY2012