MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 6901
Change Report (if Any):

Short Name: NORCEN BH

Long Name 1: NORCEN BEHAVIORAL HEALTH
Long Name 2: SYSTEM

Address 1: 7162 READING ROAD SUITE 500
Address 2:

City: CINCINNATI
Zip Code: 45237
County: HAMI

Contact: MAURY RIPLEY
Title: CEO
Phone: 5137616222
FAX: 5136794590

Vendor: 6901

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012