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CAH101312-00 Fishermen's Hospital (Active)
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Main Details
Name
Fishermen's Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH101312-00
Medicare Provider Number
101312
Additional Details
Current Program Status
Active
Registration Date
10/15/2018
Participating Start Date
1/1/2019
Participating Approval Date
11/6/2018
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Baptist Health South Florida
Madeline Camejo, Vice President and Chief Pharmacy Officer
(786) 662-0801
Primary Contact
Baptist Health South Florida
Halena Leah Marcelin, Director, Pharmacy Business Affairs
(786) 662-0805
Addresses
Street Address
3301 Overseas Highway
Marathon, FL 33050
Billing Address
Fishermen's Hospital
Baptist Health South Florida Accounts Payable
8900 North Kendall Drive
Miami, FL 33176
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Initial start 1/1/2016, Termination 7/1/2017, Reinstate 1/1/2019
11/06/2018
April 2025
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