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DSH100127 MORTON PLANT HOSPITAL (Terminated)
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Main Details
Name
MORTON PLANT HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100127
Medicare Provider Number
100127
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2020
Participating Start Date
10/1/2020
Participating Approval Date
8/25/2020
Last Recertification Date
9/6/2023
Termination Date
Termination Reason
7/1/2024
DSH percentage below statutory minimum
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
300 PINELLAS ST
CLEARWATER, FL 33756-3804
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 7/1/2015, terminated 10/1/2015, reinstated 10/1/2020.
07/28/2020
April 2025
April 2025
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