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DSH230167AP MCLAREN GREATER LANSING (Terminated)
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Main Details
Name
MCLAREN GREATER LANSING
Subdivision Name
Endoscopy
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230167AP
Medicare Provider Number
230167
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/5/2016
Participating Start Date
1/1/2017
Participating Approval Date
12/8/2016
Last Recertification Date
9/10/2021
Termination Date
Termination Reason
4/1/2022
Site closure
Contacts
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
Addresses
Street Address
2727 S. Pennsylvania Ave
Lansing, MI 48910
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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