340B Drug Pricing Program Database
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DSH100007KK AdventHealth Orlando (Active)
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Main Details
Name
AdventHealth Orlando
Subdivision Name
ADVENTHEALTH SLEEP CENTER ORLANDO
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH100007KK
Medicare Provider Number
100007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/10/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/16/2019
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
AdventHealth
Kent Johnson, Associate Chief Financial Officer
(407) 303-5786
Primary Contact
AdventHealth
Ashley Rajkumar, 340B Program Coordinator
(407) 577-8409
Addresses
Street Address
501 E. King St.
2nd Floor
Orlando, FL 32803
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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