340B Drug Pricing Program Database
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DSH030111AB Banner – University Medical Center South (Approved)
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Main Details
Name
Banner – University Medical Center South
Subdivision Name
BANNER UNIVERSITY MEDICINE MULTISPECIALTY SERVICES (OBGYN) - OBGYN
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH030111AB
Medicare Provider Number
030111
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/8/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/15/2025
Last Recertification Date
Contacts
Authorizing Official
Banner Health
Meiko Onken, Chief Operating Officer
(602) 625-2651
Primary Contact
Banner University Medical Center Tucson
Kurt Weibel, Director of Pharmacy Services
(520) 694-6061
Addresses
Street Address
2800 E AJO WAY
100
TUCSON, AZ 85713
Billing Address
Banner Health Accounts Payable
PO Box 2977
Phoenix, AZ 85062
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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