Innosonian, Inc
Innosonian, Europe
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| HCA Order Form |
| Division | North Carolina Division | ||
| Site/Hospital | Angel Medical Center | ||
| Billing | Delivery | ||
| Name | Thomas.Edwards4@HealthTrustWS.com | Name | Katelyn Jordao |
| George.Greene1@healthtrustpg.com | Katelyn.Jordao@HCAHealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 120 Riverview St. |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | |
| Address Line 3 | Suite 1100 | Address Line 3 | |
| City | Nashville | City | Franklin |
| State | TN | State | NC |
| ZIP | 37203 | ZIP | 28734 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| 3 | $0.00 | ||
| 1 | $0.00 | ||
| A99003 | Brayden Power Adaptor for Adult & Baby, 110v, 8ft cord, U.S. Plug | 1 | $15.38 |
| C99002 | Brayden Adult Airway Silicone Flap Valve (Pack of 24) | 1 | $7.75 |
| Sub-Total | $23.13 | ||