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DSH100093 BAPTIST HOSPITAL (Active)
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Main Details
Name
BAPTIST HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100093
Medicare Provider Number
100093
Additional Details
Current Program Status
Active
Registration Date
3/9/2009
Participating Start Date
4/1/2009
Participating Approval Date
3/9/2009
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Baptist Health Care
Valerie Cyd Cadena, Senior Vice President - Operations
(448) 227-8053
Primary Contact
BHC
Frederick Seelmann, Executive Director of Pharmacy
(850) 469-7567
Addresses
Street Address
123 Baptist Way
PENSACOLA, FL 32503
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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6/11/12 reinstated program due to clerical error during recertification, removed termination date as entity listed %SSI days and not allowable DSH%, appropriate documentation received to fix DSH% and allow program to remain in 340B database as eligible entitiy JH 4/1/09 REINSTATED PREV PART FROM 10/1/03 TO 3/31/04 NOT ELIGIBLE FROM 4/1/04 TO 3/31/09 340B ID CHANGE (WAS DSH32501); 2/25/09- DOC RECD TO CONFIRM ELIG DSH ADJ %.11/01/10 ADDED MEDICAID#
06/11/2012
4/1/09 REINSTATED PREV PART FROM 10/1/03 TO 3/31/04 NOT ELIGIBLE FROM 4/1/04 TO 3/31/09 340B ID CHANGE (WAS DSH32501); 2/25/09- DOC RECD TO CONFIRM ELIG DSH ADJ %.11/01/10 ADDED MEDICAID#
11/01/2010
May 2025
May 2025
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