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HCA Order Form |
Division | Central West Texas Division | ||
Site/Hospital | St. David’s South Austin Med | ||
Billing | Delivery | ||
Name | lisa.everett@stdavids.com | Name | Lisa Everett |
George.Greene1@healthtrustpg.com | lisa.everett@stdavids.com | ||
Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 1201B W. Louis Henna Blvd. |
Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | Suite 200 |
Address Line 3 | Suite 1100 | Address Line 3 | |
City | Nashville | City | Austin |
State | TN | State | TX |
ZIP | 37203 | ZIP | 78681 |
Items to Order | |||
Code | Description | Quantity | Total ($) |
C99007 | Brayden Adult Lung Kit Version A04 (Pack of 24) | 1 | $47.25 |
A17001 | Brayden Baby/Infant Cotton Diaper | 1 | $15.75 |
A99003 | Brayden Power Adaptor for Adult & Baby, 110v, 8ft cord, U.S. Plug | 2 | $29.30 |
Sub-Total | $92.30 |