340B Drug Pricing Program Database
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DSH030002BD Banner – University Medical Center Phoenix (Terminated)
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Main Details
Name
Banner – University Medical Center Phoenix
Subdivision Name
BANNER - UNIVERSITY MEDICAL CENTER - Rheumatology - Arcadia
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH030002BD
Medicare Provider Number
030002
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/2/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/17/2024
Last Recertification Date
Termination Date
Termination Reason
4/1/2025
Never implemented the 340B Program
Contacts
Authorizing Official
Banner University Medical Center Phoenix
Diana L Gernhart, Chief Financial Officer
(602) 839-8507
Primary Contact
Banner University Medical Center Phoenix
Jeff Anderson, Director, Pharmacy Academic
(602) 839-2657
Addresses
Street Address
4200 E CAMELBACK RD
STE 202
PHOENIX, AZ 85018-2718
Billing Address
Banner Health Accounts Payable
P.O. Box 2977
Phoenix, AZ 85062
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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