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DSH230167AV MCLAREN GREATER LANSING (Active)
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Main Details
Name
MCLAREN GREATER LANSING
Subdivision Name
MGL North Lansing WMN Hlth Pro - Women's Health
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230167AV
Medicare Provider Number
230167
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/3/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/3/2025
Last Recertification Date
Contacts
Authorizing Official
McLaren Greater Lansing
Dale Thompson, Chief Financial Officer
(517) 975-7555
Primary Contact
McLaren Health Care
Tiffany Harwood, Corporate Director of 340B Data Analytics
(734) 512-8778
Addresses
Street Address
1540 Lake Lansing Rd.
Ste. 205
Lansing, MI 48912
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating Start Date 7/1/2024, Termination 1/1/2025, Reinstatement 4/1/2025
01/29/2025
June 2025
June 2025
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