Innosonian, Inc
Innosonian, Europe
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| HCA Order Form |
| Division | North Carolina Division | ||
| Site/Hospital | Highlands Cashiers Hospital | ||
| Billing | Delivery | ||
| Name | Thomas.Edwards4@HealthTrustWS.com | Name | Dorothy Vanderwiele |
| George.Greene1@healthtrustpg.com | dorothy.vanderwiele@hcahealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 190 Hospital Dr. |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | |
| Address Line 3 | Suite 1100 | Address Line 3 | |
| City | Nashville | City | Highlands |
| State | TN | State | NC |
| ZIP | 37203 | ZIP | 28741 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| C99008 | Brayden Premium Urethane Adult Lung Kit (Pack of 6) | 1 | $88.20 |
| C17001 | Brayden Baby/Infant Replacement Lung (single) | 4 | $37.80 |
| Sub-Total | $126.00 | ||