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HCA Order Form |
Division | Capital Division | ||
Site/Hospital | Lewis Gale Medical Center | ||
Billing | Delivery | ||
Name | Mathew.Huddleston@hcahealthcare.com | Name | Larry Bartley |
George.Greene1@healthtrustpg.com | larry.bartley@hcahealthcare.com | ||
Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 1802 Braeburn Dr |
Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | |
Address Line 3 | Suite 1100 | Address Line 3 | Attn: Larry Bartley, Clinical Education |
City | Nashville | City | Salem |
State | TN | State | VA |
ZIP | 37203 | ZIP | 24153 |
Items to Order | |||
Code | Description | Quantity | Total ($) |
A99003 | Brayden Power Adaptor for Adult & Baby, 110v, 8ft cord, U.S. Plug | 2 | $29.30 |
Sub-Total | $29.30 |