340B Drug Pricing Program Database
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DSH100088 BAPTIST MEDICAL CENTER (Active)
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Main Details
Name
BAPTIST MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH100088
Medicare Provider Number
100088
Additional Details
Current Program Status
Active
Registration Date
4/24/2006
Participating Start Date
7/1/2006
Participating Approval Date
4/25/2006
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Baptist Medical Center
Scott Finnegan, Senior Vice President of Finance/Treasury
(904) 202-3270
Primary Contact
Baptist Medical Center
Pamela Michelle Johnston, Sr 340B Pharmacy Specialist
(904) 202-5255
Addresses
Street Address
800 PRUDENTIAL DRIVE
JACKSONVILLE, FL 32207
Billing Address
BAPTIST MEDICAL CENTER
PO Box 45128
Jacksonville, FL 32232
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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04/03/2012 updated Medicaid # (was 0100641)
04/03/2012
April 2025
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