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HCA Order Form
Division Gulf Coast Division
Site/Hospital Corpus Christi Medical Center Doctors Regional
Billing Delivery
Name sarah.prial@hcahealthcare.com Name Charisse Leach
Email George.Greene1@healthtrustpg.com Email joy.leach@hcahealthcare.com
Address Line 1 Clinical Education Financial Reporting Address Line 1 3315 S. Alameda St
Address Line 2 Clinical Education Financial Reporting Address Line 2
Address Line 3 Suite 1100 Address Line 3
City Nashville City Corpus Christs
State TN State TX
ZIP 37203 ZIP 78411
Items to Order
Code Description Quantity Total ($)
S13107 Brayden Adult Airway Valve Assembly 5 $17.85
  Sub-Total $17.85