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HCA Order Form
Division TriStar Division
Site/Hospital TriStar CCA
Billing Delivery
Name Matthew.Thomas4@hcahealthcare.com Name Carlos Reyes
Email George.Greene1@healthtrustpg.com Email Carlos.Reyes@hcahealthcare.com
Address Line 1 Clinical Education Financial Reporting Address Line 1 1100 Dr. Martin L King Jr. Blvd.
Address Line 2 Clinical Education Financial Reporting Address Line 2 Center for Clinical Advancement
Address Line 3 Suite 1100 Address Line 3 Suite 600
City Nashville City Nashville
State TN State TN
ZIP 37203 ZIP 37203
Items to Order
Code Description Quantity Total ($)
C17003 Brayden Baby/Infant Body Skin 1 $60.64
A99003 Brayden Power Adaptor for Adult & Baby, 110v, 8ft cord, U.S. Plug 12 $175.80
  Sub-Total $236.44