340B Drug Pricing Program Database
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DSH030064A Banner - University Medical Center Tucson (Terminated)
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Main Details
Name
Banner - University Medical Center Tucson
Subdivision Name
Banner - UNIVERSITY HEALTH CARE-PANTANO
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH030064A
Medicare Provider Number
030064
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/24/2006
Participating Start Date
1/1/1999
Participating Approval Date
10/24/2006
Last Recertification Date
9/4/2020
Termination Date
Termination Reason
10/1/2021
Business decision by the Covered Entity
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
Addresses
Street Address
7901 EAST 22ND STREET
TUCSON, AZ 85710
Billing Address
Banner Heath 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
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