340B Drug Pricing Program Database
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CAH291313-00 Banner Churchill Community Hospital (Active)
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Main Details
Name
Banner Churchill Community Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH291313-00
Medicare Provider Number
291313
Additional Details
Current Program Status
Active
Registration Date
4/13/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/27/2016
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Banner Payson Medical Center
Matthew K King, Senior Finance Director
(801) 682-9661
Primary Contact
Banner Churchill Community Hospital
Alison S. Toigo, Associate Director of Pharmacy
(775) 867-7123
Addresses
Street Address
801 East Williams Avenue
Fallon, NV 89406
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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