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DSH230207AD McLaren Oakland (Active)
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Main Details
Name
McLaren Oakland
Subdivision Name
MCLAREN BREAST CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230207AD
Medicare Provider Number
230207
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/15/2016
Participating Start Date
4/1/2016
Participating Approval Date
3/8/2016
Last Recertification Date
8/26/2024
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
5701 BOW POINTE DRIVE
Suite 255
CLARKSTON, MI 48346-5402
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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