340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH100093CF BAPTIST HOSPITAL (Terminated)
Print
Main Details
Name
BAPTIST HOSPITAL
Subdivision Name
BH General Surgery BMPP 202 - BH General Surgery BMPP 202
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100093CF
Medicare Provider Number
100093
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/11/2020
Participating Start Date
4/1/2020
Participating Approval Date
1/31/2020
Last Recertification Date
9/4/2024
Termination Date
Termination Reason
1/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
Baptist Health Care
Andrew L. Terry, Vice President Revenue Management
(850) 469-7643
Primary Contact
BHC
Frederick Seelmann, Executive Director of Pharmacy
(850) 469-7567
Addresses
Street Address
3874 Highway 90
Suite 202
Pace, FL 32571
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session