340B Drug Pricing Program Database
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DSH230207AE McLaren Oakland (Terminated)
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Main Details
Name
McLaren Oakland
Subdivision Name
MCLAREN SLEEP DIAGNOSTIC CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230207AE
Medicare Provider Number
230207
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2016
Participating Start Date
4/1/2016
Participating Approval Date
3/8/2016
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
5701 BOW POINTE DRIVE
SUITE 355
CLARKSTON, MI 48346-5403
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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