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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 |
George.Greene1@healthtrustpg.com | 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 |