340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH030064K Banner - University Medical Center Tucson (Terminated)
Print
Main Details
Name
Banner - University Medical Center Tucson
Subdivision Name
Banner - UMC Alvernon Surgery Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH030064K
Medicare Provider Number
030064
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/3/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/11/2013
Last Recertification Date
9/2/2016
Termination Date
Termination Reason
4/1/2017
Site closure
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
750 North Alvernon Way
Tucson, AZ 85711
Billing Address
Banner - University Medical Center Tucson
1501 N. Campbell Ave.
Tucson, AZ 85724
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.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
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