UPI (Provider ID): 7063
Change Report (if Any):

Short Name: JEFF BH SYS

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

Address 1: 3200 JOHNSON ROAD
Address 2:

City: STEUBENVILLE
Zip Code: 43952
County: JEFF

Contact: KATHLEEN MADIGAN
Title: CFO
Phone: 7402647751
FAX: 7402642422

Vendor: 7063

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 02/08/2012

File Produced: 19MAY2012