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DSH230167C INGHAM REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
INGHAM REGIONAL MEDICAL CENTER
Subdivision Name
McLaren Charlotte Womens Health
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230167C
Medicare Provider Number
230167
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2016
Participating Start Date
4/1/2016
Participating Approval Date
3/14/2016
Last Recertification Date
Termination Date
Termination Reason
7/1/2016
Site closure
Contacts
Authorizing Official
McLaren Greater Lansing
Dale Thompson, Chief Financial Officer
(517) 975-7555
Primary Contact
Ingham Regional Medical Center
Ron Cosson, Service Line Administrator, Clinical Support
(517) 975-7555
Addresses
Street Address
111 Lansing St., Ste. 220
Charlotte, MI 48813-2400
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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