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HCA Order Form
Division Continental Division
Site/Hospital HCA Healthcare Center for Clinical Advancement
Billing Delivery
Name Scott.Bartholomew@HealthONEcares.com Name Scott Bartholomew
Email George.Greene1@healthtrustpg.com Email Scott.Bartholomew@HealthONEcares.com
Address Line 1 Clinical Education Financial Reporting Address Line 1 1650 S. Potomac St., Aurora CO 80012
Address Line 2 Clinical Education Financial Reporting Address Line 2 Room 308
Address Line 3 Suite 1100 Address Line 3
City Nashville City Aurora
State TN State CO
ZIP 37203 ZIP 80012
Items to Order
Code Description Quantity Total ($)
[980] Brayden Adult Lung Kit Version A04 (Pack of 24) 1 $49.61
[980] Brayden Power Adaptor for Adult & Baby, 110v, 8ft cord, U.S. Plug 2 $30.76
[980] $0.00
  Sub-Total $80.37