340B Drug Pricing Program Database
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DSH030064B Banner - University Medical Center Tucson (Active)
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Main Details
Name
Banner - University Medical Center Tucson
Subdivision Name
Banner - UNIVERSITY HEALTH CARE-NORTH HILLS
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH030064B
Medicare Provider Number
030064
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/10/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/16/2024
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
265 WEST INA ROAD
TUCSON, AZ 85704
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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Participated starting 1/1/2023, terminated 10/1/2023. Reinstated 10/1/2024.
07/16/2024
Participating from effective date: (01/01/1999) until terminated (10/01/2021), reinstatement effective date: (01/01/2023)
11/14/2022
1/11/12 Add New bill to address, Change AO and PC JH
10/24/2006
April 2025
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