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DSH230207F McLaren Oakland (Active)
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Main Details
Name
McLaren Oakland
Subdivision Name
Mclaren Oakland - Back Care and Pain Management
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230207F
Medicare Provider Number
230207
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
6/1/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/26/2012
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
5625 Water Tower Place
Suite 220
Clarkston, MI 48346
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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