340B Drug Pricing Program Database


DSH100154D South Miami Hospital (Active) - information as of 4/24/2025 10:16:11 PM

Main Details
South Miami Hospital
Urgent Care Center - Doral
Disproportionate Share Hospital
No
DSH100154D
100154


Additional Details
Active
4/13/2016
7/1/2016
5/13/2016
8/28/2024

Contacts

Baptist Health South Florida
Madeline Camejo, Vice President and Chief Pharmacy Officer
(786) 662-0801

Baptist Health South Florida
Halena Leah Marcelin, Director, Pharmacy Business Affairs
(786) 662-0805

Addresses

9915 NW 41 Street
Doral, FL 33178

Doral UCC
Baptist Health South Florida Accounts Payable
8900 North Kendall Drive
Miami, FL 33176


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
FL0100587001982688230
Shipping Addresses

South Miami Hospital
Doral Urgent Care Center
9915 NW 41 Street
Doral, FL 33178

RedPharm Drug
6501 City West Pkwy
Eden Prairie, MN 55344

EPM Packaging Inc
210 E 4th Street
Lexington, NE 68850

Baptist Health South Florida
Baptist Health Pharmacy Shared Services Center
14408 Commerce Way
Miami Lakes, FL 33016
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH100154AChildDSHSouth Miami HospitalUrgent Care Center - Brickell2660 SW Brickell AvenueMiamiFLActive
DSH100154AAChildDSHSouth Miami HospitalBaptist Health Hospital Doral - Emergency Department9500 NW 58th StreetDoralFLActive
DSH100154ABChildDSHSouth Miami HospitalBaptist Health Hospital Doral - Radiology - Diagnostic9500 NW 58th StreetDoralFLActive
DSH100154ACChildDSHSouth Miami HospitalBaptist Health Hospital Doral - Imaging CT Scan9500 NW 58th StreetDoralFLActive
DSH100154ADChildDSHSouth Miami HospitalBaptist Health Hospital Doral - Ultrasound9500 NW 58th StreetDoralFLActive
DSH100154AEChildDSHSouth Miami HospitalBaptist Health Hospital Doral - Respiratory Therapy9500 NW 58th StreetDoralFLActive
DSH100154AFChildDSHSouth Miami HospitalHeart Rhythm Center - Heart Rhythm Center7401 SW 62nd AveSouth MiamiFLActive
DSH100154AGChildDSHSouth Miami HospitalBaptist Health Hospital Doral - Imaging - MRI9500 NW 58th StreetDoralFLActive
DSH100154AHChildDSHSouth Miami HospitalBaptist Health Hospital Doral - Non-invasive Vascular Lab9500 NW 58th StreetDoralFLActive
DSH100154AJChildDSHSouth Miami HospitalBaptist Health Hospital Doral - Surgery9500 NW 58th StreetDoralFLActive
DSH100154AKChildDSHSouth Miami HospitalLung Health Clinic - Lung Clinic6250 Sunset DriveSouth MiamiFLActive
DSH100154ALChildDSHSouth Miami HospitalBaptist Health Hospital Doral - EKG - Stress Testing9500 NW 58th StreetDoralFLActive
DSH100154AMChildDSHSouth Miami HospitalBaptist Health Hospital Doral - Physical Therapy9500 NW 58th StreetDoralFLActive
DSH100154BChildDSHSouth Miami HospitalUrgent Care Center - Coral Gables10 Giralda AvenueCoral GablesFLActive
DSH100154CChildDSHSouth Miami HospitalUrgent Care Center - Davie4741 South University DriveDavieFLActive
DSH100154DChildDSHSouth Miami HospitalUrgent Care Center - Doral9915 NW 41 StreetDoralFLActive
DSH100154EChildDSHSouth Miami HospitalUrgent Care Center - Miami Lakes14701 NW 77 AvenueMiami LakesFLActive
DSH100154FChildDSHSouth Miami HospitalUrgent Care Center - Pembroke Pines15885 Pines BoulevardPembroke PinesFLActive
DSH100154GChildDSHSouth Miami HospitalUrgent Care Center - Sawgrass12472 W Sunrise BoulevardSunriseFLActive
DSH100154HChildDSHSouth Miami HospitalUrgent Care Center - University Center1240 South Dixie HighwayMiamiFLActive
DSH100154JChildDSHSouth Miami HospitalUrgent Care Center - Weston1642 Town Center CircleWestonFLActive
DSH100154KChildDSHSouth Miami HospitalUrgent Care Center - Coral Springs6264 West Sample RoadCoral SpringsFLActive
DSH100154LChildDSHSouth Miami HospitalUrgent Care Center - Miami Beach709 Alton RoadMiami BeachFLActive
DSH100154MChildDSHSouth Miami HospitalChild Development Center - Clinic7401 SW 62nd AveSouth MiamiFLActive
DSH100154NChildDSHSouth Miami HospitalWound Care - Clinic6250 Sunset DriveSouth MiamiFLActive
DSH100154PChildDSHSouth Miami HospitalPelvic Health - Clinic7401 SW 62nd AveSouth MiamiFLActive
DSH100154QChildDSHSOUTH MIAMI HOSPITALBurn Center - Clinic6250 Sunset DriveSouth MiamiFLTerminated
DSH100154RChildDSHSouth Miami HospitalEast Tower - Labor and Delivery7401 SW 62nd AveSouth MiamiFLActive
DSH100154SChildDSHSouth Miami HospitalHyperbaric Medicine6250 Sunset DriveSouth MiamiFLActive
DSH100154TChildDSHSouth Miami HospitalPulmonary Rehab6250 Sunset DriveSouth MiamiFLActive
DSH100154UChildDSHSouth Miami HospitalNursing Unit - 5 East Tower7401 SW 62nd AveSouth MiamiFLActive
DSH100154VChildDSHSouth Miami HospitalUrgent Care Center - Downtown Doral8400 NW 53rd StreetDoralFLActive
DSH100154WChildDSHSouth Miami HospitalUrgent Care Center - Plantation1228 South Pine Island RdPlantationFLActive
DSH100154XChildDSHSouth Miami HospitalBaptist Health Hospital Doral - Anesthesiology9500 NW 58th StreetDoralFLActive
DSH100154YChildDSHSouth Miami HospitalBaptist Health Hospital Doral - Echocardiography9500 NW 58th StreetDoralFLActive
DSH100154ZChildDSHSouth Miami HospitalBaptist Health Hospital Doral - Post Anesthesia Care Unit9500 NW 58th StreetDoralFLActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsEntity NameUpdateChange RequestSOUTH MIAMI HOSPITALSouth Miami Hospital3/20/2025 8:32 AM
DetailsLast Recertification DateUpdateRecertification9/1/2023 3:33:36 PM8/28/2024 2:09:13 PM8/28/2024 2:09 PM
AddressesBilling AddressUpdateChange RequestDoral UCC Baptist Health South Florida Accounts Payable PO Box 29002 Miami, FL 33102Doral UCC Baptist Health South Florida Accounts Payable 8900 North Kendall Drive Miami, FL 331766/17/2024 1:03 PM
AddressesBilling AddressUpdateChange RequestDoral Ucc - BHSF Accounts Payable 8900 North Kendall Drive Miami, FL 33176-2197Doral UCC Baptist Health South Florida Accounts Payable PO Box 29002 Miami, FL 331022/14/2024 1:17 PM
DetailsLast Recertification DateUpdateRecertification9/19/2022 7:41:52 AM9/1/2023 3:33:36 PM9/1/2023 3:33 PM
AddressesShipping AddressDeleteChange RequestBaptist Health South Florida Baptist Health Pharmacy Shared Services Center 9001 NW 33rd Street Doral, FL 33172 2/14/2023 7:03 AM
AddressesShipping AddressInsertChange Request Baptist Health South Florida Baptist Health Pharmacy Shared Services Center 14408 Commerce Way Miami Lakes, FL 3301610/24/2022 12:22 PM
AddressesShipping AddressDeleteRecertificationSouth Miami Hospital Doral Urgent Care Center 9915 NW 41 Street Miami, FL 33178 9/19/2022 7:41 AM
AddressesShipping AddressInsertRecertification South Miami Hospital Doral Urgent Care Center 9915 NW 41 Street Doral, FL 331789/19/2022 7:41 AM
AddressesShipping AddressInsertRecertification RedPharm Drug 6501 City West Pkwy Eden Prairie, MN 553449/19/2022 7:41 AM
AddressesShipping AddressInsertRecertification EPM Packaging Inc 210 E 4th Street Lexington, NE 688509/19/2022 7:41 AM
AddressesMain AddressUpdateRecertification 9915 NW 41 Street Miami, FL 33178 9915 NW 41 Street Doral, FL 331789/19/2022 7:41 AM
DetailsLast Recertification DateUpdateRecertification9/11/2021 2:49:33 PM9/19/2022 7:41:52 AM9/19/2022 7:41 AM
DetailsEntity SubnameUpdateRecertificationDoral UCCUrgent Care Center - Doral9/19/2022 7:41 AM
AddressesShipping AddressInsertChange Request South Miami Hospital Doral Urgent Care Center 9915 NW 41 Street Miami, FL 331786/7/2022 7:07 AM
AddressesShipping AddressInsertChange Request Baptist Health South Florida Baptist Health Pharmacy Shared Services Center 9001 NW 33rd Street Doral, FL 331726/7/2022 7:07 AM
DetailsLast Recertification DateUpdateRecertification8/18/2020 6:42:51 PM9/11/2021 2:49:33 PM9/11/2021 2:49 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestCamejo, Madeline Vice President and Chief Pharmacy Officer Baptist Health South Florida 7865951130Camejo, Madeline Vice President and Chief Pharmacy Officer Baptist Health South Florida 78666208019/10/2021 4:10 PM
Medicaid BillingNPI: StateUpdateRecertification FL8/18/2020 6:42 PM
DetailsLast Recertification DateUpdateRecertification8/30/2019 9:49:48 AM8/18/2020 6:42:51 PM8/18/2020 6:42 PM
ContactsPrimary ContactUpdateProfile Change RequestMarcelin, Halena Leah Director, Pharmacy Business Affairs Baptist Health South Florida 7866620785Marcelin, Halena Leah Director, Pharmacy Business Affairs Baptist Health South Florida 78666208055/27/2020 8:26 PM
DetailsLast Recertification DateUpdateRecertification9/12/2018 1:03:47 PM8/30/2019 9:49:48 AM8/30/2019 9:49 AM
ContactsPrimary ContactUpdateRecertificationRouseff, Maribeth Assistant VP Baptist Health South Florida 7865963330Marcelin, Halena Leah Director, Pharmacy Business Affairs Baptist Health South Florida 78666207859/12/2018 1:03 PM
DetailsLast Recertification DateUpdateRecertification12/6/2017 12:03:59 PM9/12/2018 1:03:47 PM9/12/2018 1:03 PM
ContactsAuthorizing OfficialUpdateAO Change RequestThomson Quintero, Suzzanne Chief Procurement Office and Corporate Vice President Baptist Hospital Of Miami 7866627866Camejo, Madeline Vice President and Chief Pharmacy Officer Baptist Health South Florida 78659511308/27/2018 9:46 AM
AddressesMain AddressUpdateRecertification Doral UCC 9915 NW 41 Street Miami, FL 33178 9915 NW 41 Street Miami, FL 3317812/6/2017 12:03 PM
DetailsLast Recertification DateUpdateRecertification8/12/2016 12:00:00 AM12/6/2017 12:03:59 PM12/6/2017 12:03 PM
ContactsPrimary ContactUpdateProfile Change RequestRouseff, Maribeth Assistant VP Baptist Hospital of Miami, Inc 7865963330Rouseff, Maribeth Assistant VP Baptist Health South Florida 786596333011/21/2017 1:42 PM
ContactsAuthorizing OfficialUpdateAO Change RequestMENDEZ, LINCOLN CEO 7866628848Thomson Quintero, Suzzanne Chief Procurement Office and Corporate Vice President Baptist Hospital Of Miami 786662786610/17/2017 12:23 PM
ContactsPrimary ContactUpdate Rouseff, Maribeth Assistant VP 7865963330Rouseff, Maribeth Assistant VP Baptist Hospital of Miami, Inc 78659633309/21/2017 10:45 AM
ContactsPrimary ContactInsert  Rouseff, Maribeth Assistant VP 78659633306/12/2017 11:16 AM
AddressesMain AddressInsert   Doral UCC 9915 NW 41 Street Miami, FL 331788/12/2016 8:23 AM
ContactsAuthorizing OfficialInsert  MENDEZ, LINCOLN CEO 78666288488/12/2016 8:23 AM
ContactsSigned ByInsert  MENDEZ, LINCOLN CEO 78666288488/12/2016 8:23 AM
DetailsLast Recertification DateUpdate  8/12/2016 12:00:00 AM8/12/2016 8:23 AM
AddressesBilling AddressInsert  Doral Ucc - BHSF Accounts Payable 8900 North Kendall Drive Miami, FL 33176-21975/13/2016 9:45 AM
DatesParticipating Approval DateUpdate  5/13/2016 12:00:00 AM5/13/2016 9:44 AM
DetailsStateUpdate PendingActive5/13/2016 9:44 AM
DatesStart DateUpdate  7/1/2016 12:00:00 AM5/13/2016 9:44 AM
Details340B IDUpdate OUTPATIENT_ONLINE_REG_59997DSH100154D5/11/2016 2:57 PM
Details340B IDUpdate  OUTPATIENT_ONLINE_REG_599974/13/2016 11:46 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False4/13/2016 11:46 AM
Medicaid BillingMedicaid: NumberInsert  0100587004/13/2016 11:46 AM
Medicaid BillingMedicaid: StateInsert  FL4/13/2016 11:46 AM
Medicaid BillingNPI: NumberInsert  19826882304/13/2016 11:46 AM
DetailsLast Recertification DateInsert   4/13/2016 11:46 AM
DetailsGrant NumberInsert   4/13/2016 11:46 AM
Details340B IDInsert   4/13/2016 11:46 AM
DetailsIs Authorizing Official EHB DataInsert   4/13/2016 11:46 AM
DatesLast Date That 340B Drugs PurchasedInsert   4/13/2016 11:46 AM
DetailsMedicare Provider NumberInsert  1001544/13/2016 11:46 AM
DetailsEntity NameInsert  SOUTH MIAMI HOSPITAL4/13/2016 11:46 AM
DetailsProgram CodeInsert  DSH4/13/2016 11:46 AM
DetailsEntity SubnameInsert  Doral UCC4/13/2016 11:46 AM
DatesParticipating Approval DateInsert   4/13/2016 11:46 AM
DetailsStateInsert  Pending4/13/2016 11:46 AM
DatesRegistration DateInsert  4/13/2016 12:00:00 AM4/13/2016 11:46 AM
DatesSigned By DateInsert  4/13/2016 12:00:00 AM4/13/2016 11:46 AM
DatesStart DateInsert   4/13/2016 11:46 AM
TerminationsTermination CommentsInsert   4/13/2016 11:46 AM
TerminationsTermination DateInsert   4/13/2016 11:46 AM
TerminationsTermination Effective DateInsert   4/13/2016 11:46 AM
TerminationsTermination ReasonInsert   4/13/2016 11:46 AM