340B Drug Pricing Program Database
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DSH030064P Banner - University Medical Center Tucson (Terminated)
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Main Details
Name
Banner - University Medical Center Tucson
Subdivision Name
Banner - AZCC - Urology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH030064P
Medicare Provider Number
030064
Outpatient Facility Provider Number
030064
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2014
Participating Start Date
10/1/2014
Participating Approval Date
8/20/2014
Last Recertification Date
9/4/2020
Termination Date
Termination Reason
7/1/2021
Business decision by the Covered Entity
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
3838 N. Campbell Avenue
Tucson, AZ 85719
Billing Address
Banner - University Medical Center Tucson
1625 North Campbell Avenue
Tucson, AZ 85719
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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