340B Drug Pricing Program Database
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RRC230080-00 McLaren Central Michigan (Terminated)
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Main Details
Name
McLaren Central Michigan
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC230080-00
Medicare Provider Number
230080
Additional Details
Current Program Status
Terminated
Registration Date
8/29/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/14/2012
Last Recertification Date
9/3/2020
Termination Date
Termination Reason
10/1/2021
Change of covered entity type
Contacts
Authorizing Official
DSH230080-00
Tara Soules, Chief Financial Officer
(989) 772-6818
Primary Contact
McLaren Health Care
Sharelle Brown, Corporate, 340B Program Director
(248) 396-8085
Addresses
Street Address
1221 South Drive
Mount Pleasant, MI 48858
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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