340B Drug Pricing Program Database

Name

MCLAREN GREATER LANSING

Subdivision Name

2 E Orthopedics

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH230167AJ

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

4/1/2022
Site closure

Authorizing Official

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

Primary Contact

McLaren Greater Lansing
Marla Ekola, Director of Pharmacy
(517) 975-7942

Street Address

2727 S. Pennsylvania Avenue
Lansing, MI 48910

Billing Address
Same as Street Address