340B Drug Pricing Program Database
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DSH100007MF AdventHealth Orlando (Terminated)
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Main Details
Name
AdventHealth Orlando
Subdivision Name
AdventHealth Kissimmee - Wound Care
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH100007MF
Medicare Provider Number
100007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/9/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/14/2021
Last Recertification Date
8/28/2023
Termination Date
Termination Reason
4/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
AdventHealth Orlando
Daniel Myers, Senior Vice President Finance
(407) 303-5501
Primary Contact
AdventHealth Orlando
Billy Taer, Reimbursement Manager
(407) 379-1507
Addresses
Street Address
201 Hilda St
Suite 12
Kissimmee, FL 34741
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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