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RRC230167-00 MCLAREN GREATER LANSING (Terminated)
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Main Details
Name
MCLAREN GREATER LANSING
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC230167-00
Medicare Provider Number
230167
Additional Details
Current Program Status
Terminated
Registration Date
10/7/2024
Participating Start Date
1/1/2025
Participating Approval Date
11/4/2024
Last Recertification Date
Termination Date
Termination Reason
4/1/2025
Change of covered entity type
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
2900 COLLINS RD.
LANSING, MI 48910
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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