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DSH100093AX BAPTIST HOSPITAL (Active)
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Main Details
Name
BAPTIST HOSPITAL
Subdivision Name
BH Primary Care East Hill
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100093AX
Medicare Provider Number
100093
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/10/2020
Participating Start Date
4/1/2020
Participating Approval Date
1/31/2020
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Baptist Health Care
Valerie Cyd Cadena, Senior Vice President - Operations
(448) 227-8053
Primary Contact
BHC
Frederick Seelmann, Executive Director of Pharmacy
(850) 469-7567
Addresses
Street Address
3417 North 12th Avenue
Pensacola, FL 32503
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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