MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 6541
Change Report (if Any):

Short Name: STUDENT SERVICE

Long Name 1: BELLAIRE CITY SCHOOL DISTRICT
Long Name 2: STUDENT SERVICES

Address 1: 349 35TH STREET
Address 2:

City: BELLAIRE
Zip Code: 43906
County: BELM

Contact: JANET GROOME
Title: DIR
Phone: 7406764815
FAX: 7406716026

Vendor: 6541

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012