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DSH100154L South Miami Hospital (Active)
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Main Details
Name
South Miami Hospital
Subdivision Name
Urgent Care Center - Miami Beach
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100154L
Medicare Provider Number
100154
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2019
Participating Start Date
10/1/2019
Participating Approval Date
7/25/2019
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
709 Alton Road
430
Miami Beach, FL 33139
Billing Address
Miami Beach 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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