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DSH030064 Banner - University Medical Center Tucson (Active)
Main Details
Name
Banner - University Medical Center Tucson
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH030064
Medicare Provider Number
030064
Contacts
Authorizing Official
Banner University Medical Centers Tucson and South
Brad Hipp, Chief Financial Officer
(520) 694-3446
Primary Contact
Banner University Medical Center Tucson
Kurt Weibel, Director of Pharmacy Services
(520) 694-6061
Additional Details
Current Program Status
Active
Registration Date
10/24/2006
Participating Start Date
1/1/1997
Participating Approval Date
10/24/2006
Last Recertification Date
8/25/2023
Addresses
Street Address
1625 North Campbell Avenue
TUCSON, AZ 85719
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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1/11/12 Add New bill to address, Change AO and PC JH
10/24/2006
May 2024
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