340B Drug Pricing Program Database
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DSH230207AF McLaren Oakland (Terminated)
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Main Details
Name
McLaren Oakland
Subdivision Name
MCLAREN OAKLAND WATERFORD FAM MED
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230207AF
Medicare Provider Number
230207
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/17/2017
Participating Start Date
7/1/2017
Participating Approval Date
5/11/2017
Last Recertification Date
9/9/2020
Termination Date
Termination Reason
10/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
McLaren Oakland
Lynn Marcotte, CFO
(248) 338-5691
Primary Contact
McLaren Health Care
Sharelle Brown, Corporate, 340B Program Director
(248) 396-8085
Addresses
Street Address
3901 HIGHLAND ROAD
SUITE D
WATERFORD, MI 48328-2162
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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