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DSH030006A TUCSON MEDICAL CENTER (Active)
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Main Details
Name
TUCSON MEDICAL CENTER
Subdivision Name
Outpatient Procedure Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH030006A
Medicare Provider Number
030006
Outpatient Facility Provider Number
030006
Additional Details
Current Program Status
Active
Registration Date
7/1/2014
Participating Start Date
10/1/2014
Participating Approval Date
8/29/2014
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
TMCH
Steve Reichling, CFO
(520) 327-5461
Primary Contact
Tucson Medical Center
Claudia Lorraine Koreny, Director of Pharmacy
(520) 324-2317
Addresses
Street Address
1400 N Wilmot
Suite 110
Tucson, AZ 85712
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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