340B Drug Pricing Program Database

Name

MCLAREN GREATER LANSING

Subdivision Name

MMP Southside Family Med

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH230167AD

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

9/10/2021

Termination Date
Termination Reason

10/1/2022
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

5525 S. Martin Luther King Jr., Blvd.
Lansing, MI 48911

Billing Address

McLaren Greater Lansing
401 West Greenlawn Avenue
Lansing, MI 48910