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RRC230227-41 MCLAREN MACOMB (Active)
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Main Details
Name
MCLAREN MACOMB
Subdivision Name
McLaren Macomb Family First Medical - Mobile/Outreach Clinic
Type
Rural Referral Center
Rural
Yes
340B ID
RRC230227-41
Medicare Provider Number
230227
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/1/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/11/2024
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
McLaren Macomb
Steve Snyder, Chief Financial Officer
(586) 493-3044
Primary Contact
McLaren Health Care
Tiffany Harwood, Corporate Director of 340B Data Analytics
(734) 512-8778
Addresses
Street Address
36500 Gratiot Ave
Ste 202
Clinton Township, MI 48043
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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