340B Drug Pricing Program Database
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DSH030122 BANNER GATEWAY MEDICAL CENTER (Active)
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Main Details
Name
BANNER GATEWAY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH030122
Medicare Provider Number
030122
Additional Details
Current Program Status
Active
Registration Date
7/1/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/7/2015
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Banner Gateway Medical Center
Ana Barraza, CFO
(480) 543-2277
Primary Contact
Banner Gateway Medical Center
Tanya Nacy, Pharmacy Director
(480) 543-2190
Addresses
Street Address
1900 NORTH HIGLEY ROAD
GILBERT, AZ 85234
Billing Address
Banner Health Accounts Payable
PO Box 2977
Phoenix, AZ 85062
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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