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DSH230167E INGHAM REGIONAL MEDICAL CENTER dba MCLAREN GREATER LANSING (Terminated)
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Main Details
Name
INGHAM REGIONAL MEDICAL CENTER dba MCLAREN GREATER LANSING
Subdivision Name
McLaren Digestive Disease Center (Gastroenterology)
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230167E
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
9/7/2016
Termination Date
Termination Reason
10/1/2017
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
3937 Patient Care Way, Ste. 106
Lansing, MI 48911-4287
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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