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HCA Order Form |
Division | South Atlantic Division | ||
Site/Hospital | Fairview Park Hospital | ||
Billing | Delivery | ||
Name | rellie.lorenzo@hcahealthcare.com | Name | Jessica Jump |
George.Greene1@healthtrustpg.com | Jessica.Jump@hcahealthcare.com | ||
Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 200 Industrial Blvd |
Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | |
Address Line 3 | Suite 1100 | Address Line 3 | |
City | Nashville | City | Dublin |
State | TN | State | GA |
ZIP | 37203 | ZIP | 31021 |
Items to Order | |||
Code | Description | Quantity | Total ($) |
S17013 | Brayden Baby/Infant Replacement Airway Tube (single) | 7 | $20.23 |
Sub-Total | $20.23 |