Go Back
HCA Order Form |
Division | TriStar Division | ||
Site/Hospital | Parkridge Main | ||
Billing | Delivery | ||
Name | sandra.hart@hcahealthcare.com | Name | Bridget Hayes |
George.Greene1@healthtrustpg.com | bridget.hayes@hcahealthcare.com | ||
Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 9212 Sir Charles Court |
Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | |
Address Line 3 | Suite 1100 | Address Line 3 | |
City | Nashville | City | Harrison |
State | TN | State | TN |
ZIP | 37203 | ZIP | 37341 |
Items to Order | |||
Code | Description | Quantity | Total ($) |
A99003 | Brayden Power Adaptor for Adult & Baby, 110v, 8ft cord, U.S. Plug | 2 | $29.30 |
$0.00 | |||
Sub-Total | $29.30 |