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DSH100008G Baptist Hospital of Miami, INC (Active)
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Main Details
Name
Baptist Hospital of Miami, INC
Subdivision Name
Urgent Care Center - Country Walk
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100008G
Medicare Provider Number
100008
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/13/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/5/2016
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
13500 SW 152 Street
100
Miami, FL 33177
Billing Address
Country Walk 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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