Skip Navigation
U.S. Department of Health and Human Services
HRSA
OPA
Toggle navigation
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports/Files
Login
Help
CAH031304-00 Page Hospital (Active)
Main Details
Name
Page Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH031304-00
Medicare Provider Number
031304
Contacts
Authorizing Official
Banner Payson Medical Center
Matthew K King, Senior Finance Director
(801) 682-9661
Primary Contact
Banner Health
Enoch M Wayman, Associate Director of Pharmacy
(801) 906-9030
Additional Details
Current Program Status
Active
Registration Date
2/7/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/15/2012
Last Recertification Date
9/5/2023
Addresses
Street Address
501 North Navajo
Page, AZ 86040
Billing Address
Banner Health Accounts Payable
PO Box 2977
Phoenix, AZ 85062
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
Filter by Comment
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2024
May 2024
week
S
M
T
W
T
F
S
18
28
29
30
1
2
3
4
19
5
6
7
8
9
10
11
20
12
13
14
15
16
17
18
21
19
20
21
22
23
24
25
22
26
27
28
29
30
31
1
23
2
3
4
5
6
7
8
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 close in
60
seconds.
Click OK to continue your session.