340B Drug Pricing Program Database

Name

MCLAREN GREATER LANSING

Subdivision Name

MMP Hema Oncol

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH230167W

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

9/15/2022

Termination Date
Termination Reason

1/1/2023
Other

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

1540 Lake Lansing Road
103
Lansing, MI 48912

Billing Address
Same as Street Address