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DSH230167S MCLAREN GREATER LANSING (Terminated)
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Main Details
Name
MCLAREN GREATER LANSING
Subdivision Name
Grand Ledge Hlth
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230167S
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
9/16/2022
Termination Date
Termination Reason
7/1/2023
Hospital Outpatient facility no longer eligible
Contacts
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
Addresses
Street Address
935 Charleviox Drive
Suite 200
Grand Ledge, MI 48837
Billing Address
McLaren Greater Lansing
2900 Collins Rd
Lansing, MI 48910
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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