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DSH100154T South Miami Hospital (Active)
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Main Details
Name
South Miami Hospital
Subdivision Name
Pulmonary Rehab
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100154T
Medicare Provider Number
100154
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/23/2019
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
6250 Sunset Drive
South Miami, FL 33143
Billing Address
South Miami Hospital
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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