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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 Terri Thomas
Email George.Greene1@healthtrustpg.com Email terri.thomas2@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 ($)
C99007 Brayden Adult Lung Kit Version A04 (Pack of 24) 2 $99.22
C17001 Brayden Baby/Infant Replacement Lung (single) 24 $238.08
  Sub-Total $337.30