UPI (Provider ID): 8258
Change Report (if Any):

Short Name: CHILDRENS HOSP

Long Name 1: NATIONWIDE CHILDRENS HOSPITAL
Long Name 2:

Address 1: 899 EAST BROAD STREET FL 3
Address 2:

City: COLUMBUS
Zip Code: 43205
County: FRAN

Contact: ERICA RAY
Title:
Phone: 6143550535
FAX: 6143550509

Vendor: 8258

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 03/01/2012

File Produced: 19MAY2012