340B Drug Pricing Program Database
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DSH100093BA BAPTIST HOSPITAL (Active)
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Main Details
Name
BAPTIST HOSPITAL
Subdivision Name
BH Family Medicine BMP9 409 - BH Family Medicine BMP9 409
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100093BA
Medicare Provider Number
100093
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/12/2020
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
9400 University Parkway
Suite 409 A/B
Pensacola, FL 32514
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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