340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH030065 BANNER DESERT MEDICAL CENTER (Active)
Print
Main Details
Name
BANNER DESERT MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH030065
Medicare Provider Number
030065
Additional Details
Current Program Status
Active
Registration Date
11/28/2006
Participating Start Date
1/1/2007
Participating Approval Date
11/28/2006
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Banner Desert Medical Center
Paul Vachek, CFO - BDMC
(480) 412-3214
Primary Contact
Banner Desert Medical Center
Jeremy Hall, Director of Pharmacy
(480) 412-3711
Addresses
Street Address
1400 SOUTH DOBSON ROAD
MESA, AZ 85202
Billing Address
Banner Health Accounts Payable
P.O. Box 2977
Phoenix, AZ 85062-2977
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session