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HCA Order Form
Division Gulf Coast Division
Site/Hospital HCA Healthcare Center for Clinical Advancement (HHCCA)
Billing Delivery
Name sarah.prial@hcahealthcare.com Name Sarah Prial
Email George.Greene1@healthtrustpg.com Email sarah.prial@hcahealthcare.com
Address Line 1 Clinical Education Financial Reporting Address Line 1 HCA Healthcare Center for Clinical Advancement
Address Line 2 Clinical Education Financial Reporting Address Line 2 11200 Broadway Street
Address Line 3 Suite 1100 Address Line 3 Bldg. 200
City Nashville City Pearland
State TN State TX
ZIP 37203 ZIP 77485
Items to Order
Code Description Quantity Total ($)
C99007 Brayden Adult Lung Kit Version A04 (Pack of 24) 1 $49.61
C17001 Brayden Baby/Infant Replacement Lung (single) 10 $99.20
  Sub-Total $148.81