340B Drug Pricing Program Database
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DSH100093B BAPTIST HOSPITAL (Active)
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Main Details
Name
BAPTIST HOSPITAL
Subdivision Name
Baptist Hospital Outpatient Infusion at Ciano Cancer Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100093B
Medicare Provider Number
100093
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/5/2012
Participating Start Date
1/1/2013
Participating Approval Date
11/8/2012
Last Recertification Date
9/4/2024
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
1114 Gulf Breeze Parkway
Suite A
Gulf Breeze, FL 32561
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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