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DSH100007BW AdventHealth Orlando (Active)
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Main Details
Name
AdventHealth Orlando
Subdivision Name
ADVENTHEALTH ALTAMONTE SPRINGS ANESTHESIOLOGY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH100007BW
Medicare Provider Number
100007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/1/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/19/2015
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
AdventHealth
Kent Johnson, Associate Chief Financial Officer
(407) 303-5786
Primary Contact
AdventHealth
Ashley Rajkumar, 340B Program Coordinator
(407) 577-8409
Addresses
Street Address
601 E. Altamonte Dr.
Altamonte Springs, FL 32701-4802
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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