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DSH230080BG MCLAREN CENTRAL MICHIGAN (Approved)
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Main Details
Name
MCLAREN CENTRAL MICHIGAN
Subdivision Name
Gladwin Heart and Vascular - Heart and Vascular - Cardiology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230080BG
Medicare Provider Number
230080
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/2/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/3/2025
Last Recertification Date
Contacts
Authorizing Official
DSH230080-00
Tara Soules, Chief Financial Officer
(989) 772-6818
Primary Contact
McLaren Health Care
Tiffany Harwood, Corporate Director of 340B Data Analytics
(734) 512-8778
Addresses
Street Address
2137 W M61
Gladwin, MI 48624
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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