340B Drug Pricing Program Database

Name

MCLAREN GREATER LANSING

Subdivision Name

Lansing Rehabiliation Jolly Road

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH230167J

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

9/16/2022

Termination Date
Termination Reason

4/1/2023
Business decision by the Covered Entity

Authorizing Official

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

Primary Contact

McLaren Health Care
Sharelle Brown, Corporate, 340B Program Director
(248) 396-8085

Street Address

3394 E. Jolly Rd
Lansing, MI 48910

Billing Address

McLaren Greater Lansing
2900 Collins Rd
Lansing, MI 48910