340B Drug Pricing Program Database
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DSH100154V South Miami Hospital (Active)
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Main Details
Name
South Miami Hospital
Subdivision Name
Urgent Care Center - Downtown Doral
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100154V
Medicare Provider Number
100154
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/27/2021
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Baptist Health South Florida
Madeline Camejo, Vice President and Chief Pharmacy Officer
(786) 662-0801
Primary Contact
Baptist Health South Florida
Halena Leah Marcelin, Director, Pharmacy Business Affairs
(786) 662-0805
Addresses
Street Address
8400 NW 53rd Street
F-101
Doral, FL 33166
Billing Address
Downtown Doral UCC
Baptist Health South Florida Accounts Payable
8900 North Kendall Drive
Miami, FL 33176
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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