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DSH100007BK AdventHealth Orlando (Active)
Main Details
Name
AdventHealth Orlando
Subdivision Name
ADVENTHEALTH INFUSION CENTER ALTAMONTE SPRINGS
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH100007BK
Medicare Provider Number
100007
Outpatient Facility Provider Number
Contacts
Authorizing Official
AdventHealth Orlando
Daniel Myers, Senior Vice President Finance
(407) 303-5501
Primary Contact
AdventHealth Orlando
Billy Taer, Reimbursement Manager
(407) 379-1507
Additional Details
Current Program Status
Active
Registration Date
4/11/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/23/2014
Last Recertification Date
8/25/2023
Addresses
Street Address
894 E. Altamonte Drive
Suite 3000
Altamonte Springs, FL 32701
Billing Address
AdventHealth Finance Shared Services AP
902 Inspiration Ave
Suite 9100
Altamonte Springs, FL 32714
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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