340B Drug Pricing Program Database
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DSH100007KN AdventHealth Orlando (Active)
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Main Details
Name
AdventHealth Orlando
Subdivision Name
ADVENTHEALTH IMAGING MEDICAL PLAZA - IMAGING
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH100007KN
Medicare Provider Number
100007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/14/2020
Participating Start Date
4/1/2020
Participating Approval Date
1/31/2020
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
AdventHealth Orlando
Daniel Myers, Senior Vice President Finance
(407) 303-5501
Primary Contact
AdventHealth
Ashley Rajkumar, 340B Program Coordinator
(407) 577-8409
Addresses
Street Address
2501 N ORANGE AVE
STE 139
ORLANDO, FL 32804-4640
Billing Address
AdventHealth Finance Shared Services AP
902 Inspiration Ave
Suite 9100
Altamonte Springs, FL 32714
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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