340B Drug Pricing Program Database

Name

MCLAREN GREATER LANSING

Subdivision Name

Holt Fam Med

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH230167G

Medicare Provider Number

230167

Outpatient Facility Provider Number

Current Program Status

Terminated

Registration Date

1/15/2016

Participating Start Date

4/1/2016

Participating Approval Date

3/14/2016

Last Recertification Date

9/11/2020

Termination Date
Termination Reason

10/1/2021
Business decision by the Covered Entity

Authorizing Official

McLaren Greater Lansing
Dale Thompson, Chief Financial Officer
(517) 975-7555

Primary Contact

McLaren Greater Lansing
Marla Ekola, Director of Pharmacy
(517) 975-7942

Street Address

2450 Delhi Commerce
16
Holt, MI 48842

Billing Address

McLaren Greater Lansing
401 West Greenlawn Avenue
Lansing, MI 48910