340B Drug Pricing Program Database
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DSH100154A South Miami Hospital (Active)
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Main Details
Name
South Miami Hospital
Subdivision Name
Urgent Care Center - Brickell
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100154A
Medicare Provider Number
100154
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/13/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/13/2016
Last Recertification Date
8/28/2024
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
2660 SW Brickell Avenue
100
Miami, FL 33129
Billing Address
Brickell UCC
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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