340B Drug Pricing Program Database
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DSH230207M McLaren Oakland (Terminated)
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Main Details
Name
McLaren Oakland
Subdivision Name
McLaren Dixie
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230207M
Medicare Provider Number
230207
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/5/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/16/2013
Last Recertification Date
12/5/2017
Termination Date
Termination Reason
10/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
McLaren Oakland
Lynn Marcotte, CFO
(248) 338-5691
Primary Contact
McLaren Health Care
Sharelle Brown, Corporate, 340B Program Director
(248) 396-8085
Addresses
Street Address
6815 Dixie Hwy., Ste 1
Clarkston, MI 48346
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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