340B Drug Pricing Program Database
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DSH100154AD South Miami Hospital (Active)
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Main Details
Name
South Miami Hospital
Subdivision Name
Baptist Health Hospital Doral - Ultrasound
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100154AD
Medicare Provider Number
100154
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/16/2024
Participating Start Date
4/1/2024
Participating Approval Date
3/5/2024
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Baptist Health South Florida
Madeline Camejo, Vice President and Chief Pharmacy Officer
(786) 662-0801
Primary Contact
Baptist Health South Florida
Halena Leah Marcelin, Director, Pharmacy Business Affairs
(786) 662-0805
Addresses
Street Address
9500 NW 58th Street
Doral, FL 33178
Billing Address
Baptist Health Hospital Doral
Baptist Health South Florida Accounts Payable
8900 North Kendall Drive
Miami, FL 33176
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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