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DSH230207Y McLaren Oakland (Terminated)
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Main Details
Name
McLaren Oakland
Subdivision Name
McLaren Oakland - Drayton Primary Care
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230207Y
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
9/9/2020
Termination Date
Termination Reason
10/1/2021
Site closure
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
4400 DIXIE HIGHWAY
SUITE B
WATERFORD, MI 48329-3567
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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