340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH291313-02 Banner Churchill Community Hospital (Terminated)
Print
Main Details
Name
Banner Churchill Community Hospital
Subdivision Name
Fernley HC OB GYN RHC - Obstetrics/Gynecology Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH291313-02
Medicare Provider Number
291313
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/4/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/13/2021
Last Recertification Date
8/31/2023
Termination Date
Termination Reason
1/1/2024
Business decision by the Covered Entity
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
1260 Nevada Pacific Blvd.
Fernley, NV 89408
Billing Address
Banner Health Accounts Payable
PO Box 2977
Phoenix, AZ 85062
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