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DSH100063 MORTON PLANT NORTH BAY HOSPITAL (Active)
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Main Details
Name
MORTON PLANT NORTH BAY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100063
Medicare Provider Number
100063
Additional Details
Current Program Status
Active
Registration Date
10/9/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/12/2014
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Baycare Health System
Carl Tremonti, Chief Financial Officer
(813) 870-4020
Primary Contact
BayCare Health System
Kyle J Brauer, Manager, BayCare Pharmacy Supply Chain
(813) 901-6376
Addresses
Street Address
6600 MADISON STREET
NEW PORT RICHEY, FL 34652-1971
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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