340B Drug Pricing Program Database
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DSH100007JF AdventHealth Orlando (Active)
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Main Details
Name
AdventHealth Orlando
Subdivision Name
ADVENTHEALTH INFUSION CENTER CELEBRATION
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH100007JF
Medicare Provider Number
100007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/4/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/15/2016
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
AdventHealth Orlando
Daniel Myers, Senior Vice President Finance
(407) 303-5501
Primary Contact
AdventHealth
Ashley Rajkumar, 340B Program Coordinator
(407) 577-8409
Addresses
Street Address
380 Celebration Place
Suite 300
Celebration, FL 34747
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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