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DSH230207AG McLaren Oakland (Active)
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Main Details
Name
McLaren Oakland
Subdivision Name
McLaren Oakland Comprehensive Breast Center Clarkston - Breast Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230207AG
Medicare Provider Number
230207
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/1/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/17/2024
Last Recertification Date
Contacts
Authorizing Official
McLaren Oakland
Lynn Marcotte, CFO
(248) 338-5691
Primary Contact
McLaren Health Care
Tiffany Harwood, Corporate Director of 340B Data Analytics
(734) 512-8778
Addresses
Street Address
5701 Bow Pointe Dr
Suite 280
Clarkston, MI 48346
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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