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HCA Order Form
Division North Carolina Division
Site/Hospital Mission Hospital: Main Campus
Billing Delivery
Name emily.quayle@hcahealthcare.com Name Emily Quayle
Email George.Greene1@healthtrustpg.com Email emily.quayle@hcahealthcare.com
Address Line 1 Clinical Education Financial Reporting Address Line 1 1 Hospital Drive Suite 6200
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 28801
Items to Order
Code Description Quantity Total ($)
C99007 Brayden Adult Lung Kit Version A04 (Pack of 24) 3 $141.75
C17001 Brayden Baby/Infant Replacement Lung (single) 6 $56.70
  Sub-Total $198.45