UPI (Provider ID): 6958
Change Report (if Any):

Short Name: MHS CLARK

Long Name 1: M H SERVICES FOR CLARK COUNTY
Long Name 2:

Address 1: 1345 NORTH FOUNTAIN BLVD
Address 2:

City: SPRINGFIELD
Zip Code: 45504
County: CLAR

Contact: JAMES PERRY
Title: CEO
Phone: 9373999500
FAX: 9373992701

Vendor: 6958

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 03/20/2012

File Produced: 19MAY2012