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DSH230207X McLaren Oakland (Terminated)
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Main Details
Name
McLaren Oakland
Subdivision Name
McLaren Oakland - Baybrooke
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230207X
Medicare Provider Number
230207
Outpatient Facility Provider Number
230207
Additional Details
Current Program Status
Terminated
Registration Date
7/14/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/8/2014
Last Recertification Date
8/26/2024
Termination Date
Termination Reason
4/1/2025
Site closure
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
950 UNIVERSITY DR
MC LAREN OAKLAND
PONTIAC, MI 48342-1865
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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