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DSH230167AC MCLAREN GREATER LANSING (Active)
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Main Details
Name
MCLAREN GREATER LANSING
Subdivision Name
MMP Fam Med Portland
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230167AC
Medicare Provider Number
230167
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/3/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/3/2025
Last Recertification Date
Contacts
Authorizing Official
McLaren Greater Lansing
Dale Thompson, Chief Financial Officer
(517) 975-7555
Primary Contact
McLaren Health Care
Tiffany Harwood, Corporate Director of 340B Data Analytics
(734) 512-8778
Addresses
Street Address
406 Kent St.
Portland, MI 48875
Billing Address
McLaren Greater Lansing
2900 Collins Rd
Lansing, MI 48910
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating Start Date 4/1/2016, Termination 1/1/2025, Reinstatement 4/1/2025
01/29/2025
June 2025
June 2025
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