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RRC230227-00 MCLAREN MACOMB (Active)
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Main Details
Name
MCLAREN MACOMB
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC230227-00
Medicare Provider Number
230227
Additional Details
Current Program Status
Active
Registration Date
10/1/2020
Participating Start Date
12/1/2020
Participating Approval Date
11/10/2020
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
McLaren Macomb
Steve Snyder, Chief Financial Officer
(586) 493-3044
Primary Contact
McLaren Health Care
Tiffany Harwood, Corporate Director of 340B Data Analytics
(734) 512-8778
Addresses
Street Address
1000 HARRINGTON
MT. CLEMENS, MI 48043
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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