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HCA Order Form
Division North Carolina Division
Site/Hospital Care Partners
Billing Delivery
Name Melissa.Woodbury@HCAHealthcare.com Name Nore Hunter
Email George.Greene1@healthtrustpg.com Email nore.hunter@HCAHealthcare.com
Address Line 1 Clinical Education Financial Reporting Address Line 1 16 Rotary Rd.
Address Line 2 Clinical Education Financial Reporting Address Line 2
Address Line 3 Suite 1100 Address Line 3
City Nashville City Asheville
State TN State NC
ZIP 37203 ZIP 28803
Items to Order
Code Description Quantity Total ($)
C99007 Brayden Adult Lung Kit Version A04 (Pack of 24) 1 $47.25
C17001 Brayden Baby/Infant Replacement Lung (single) 2 $18.90
  Sub-Total $66.15