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DSH230080U MCLAREN CENTRAL MICHIGAN (Terminated)
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Main Details
Name
MCLAREN CENTRAL MICHIGAN
Subdivision Name
Heath Park 2 - Primary Care - Primary Care
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH230080U
Medicare Provider Number
230080
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/27/2021
Last Recertification Date
Termination Date
Termination Reason
10/1/2022
Site closure
Contacts
Authorizing Official
DSH230080-00
Tara Soules, Chief Financial Officer
(989) 772-6818
Primary Contact
McLaren Health Care
Sharelle Brown, Corporate, 340B Program Director
(248) 396-8085
Addresses
Street Address
2935 Health Parkway
Mt Pleasant, MI 48858
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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