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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
DSH230207 McLaren Oakland (Active)
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Main Details
Name
McLaren Oakland
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230207
Medicare Provider Number
230207
Additional Details
Current Program Status
Active
Registration Date
11/26/2007
Participating Start Date
1/1/2005
Participating Approval Date
11/26/2007
Last Recertification Date
8/26/2024
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
50 NORTH PERRY
PONTIAC, MI 48342
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/23/12 remove sub entity name as it was a pharmacy 5/9/08 ADDED SUBDIV. NAME; 5/9/08 ADDED MEDICAID #.06/01/2011 ADDED SHIP TO ADDR.
02/23/2012
5/9/08 ADDED SUBDIV. NAME; 5/9/08 ADDED MEDICAID #.06/01/2011 ADDED SHIP TO ADDR.
06/01/2011
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