Covered Entity Details

CHC28999-02 FAMILY CENTERS INC (Approved) - information as of 5/13/2025 10:54:00 PM

Main Details

Name

FAMILY CENTERS INC

Subdivision Name

Family Centers Health Care at 75 Holly Hill

Type

HRSA-Funded Health Center

Site ID

BPS-H80-039711

340B ID

CHC28999-02

Grant Number

H80CS28999

Additional Details

Current Program Status

Approved

Registration Date

4/7/2025

Participating Start Date

7/1/2025

Participating Approval Date

4/7/2025

Last Recertification Date

Contacts

Authorizing Official

Family Centers Inc.
Dennis Torres, Chief Health Officer
(203) 977-5108

Primary Contact

Family Centers Inc.
Dolly Gallegos, Medical Case Manager and 340b Coordinator
(203) 977-5026

Addresses

Street Address

75 Holly Hill Lane STE 102
Greenwich, CT 06830-6098

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
Contract Detail	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD STE 1400		ST PETERSBURG	FL	33716-2338	04/07/2025	07/01/2025			04/07/2025

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CHC28999-00	Active	BPS-H80-017685	FAMILY CENTERS INC.	Family Centers Health Care at Wilbur Peck Court	111 WILBUR PECK CT	GREENWICH	CT
CHC28999-01	Active	BPS-H80-019140	FAMILY CENTERS INC.	FCHC at 20 Bridge Street	20 Bridge St.	Greenwich	CT
CHC28999-02	Approved	BPS-H80-039711	FAMILY CENTERS INC	Family Centers Health Care at 75 Holly Hill	75 Holly Hill Lane STE 102	Greenwich	CT

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date
CHC28999-00	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD STE 1400		ST PETERSBURG	FL	33716-2338	01/01/2017
CHC28999-02	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD STE 1400		ST PETERSBURG	FL	33716-2338	07/01/2025
CHC28999-00	CURANT HEALTH GEORGIA LLC	CURANT HEALTH	200 TECHNOLOGY CT SE BLDG 200 SUITE B	SMYRNA	GA	30082-5250	01/01/2017

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Signed By	Insert	New Registration		Torres, Dennis Chief Health Officer Family Centers Inc. 2039775108	4/7/2025 12:27 PM
Details	340B ID	Update	New Registration		CHC28999-02	4/7/2025 12:27 PM
Dates	Participating Approval Date	Update	New Registration		4/7/2025 12:27:01 PM	4/7/2025 12:27 PM
Details	State	Update	New Registration	Pending	Approved	4/7/2025 12:27 PM
Dates	Signed By Date	Update	New Registration		4/7/2025 11:11:20 AM	4/7/2025 12:27 PM
Dates	Start Date	Update	New Registration		7/1/2025 12:00:00 AM	4/7/2025 12:27 PM
Addresses	Main Address	Insert	New Registration		75 Holly Hill Lane STE 102 Greenwich, CT 06830-6098	4/7/2025 11:11 AM
Contacts	Primary Contact	Insert	New Registration		Gallegos, Dolly Medical Case Manager and 340b Coordinator Family Centers Inc. 2039775026	4/7/2025 11:11 AM
Contacts	Authorizing Official	Insert	New Registration		Torres, Dennis Chief Health Officer Family Centers Inc. 2039775108	4/7/2025 11:11 AM
Details	Assistance Received From Date	Insert	New Registration			4/7/2025 11:11 AM
Details	Assistance Received To Date	Insert	New Registration			4/7/2025 11:11 AM
Details	Last Recertification Date	Insert	New Registration			4/7/2025 11:11 AM
Details	Grant Number	Insert	New Registration		H80CS28999	4/7/2025 11:11 AM
Details	340B ID	Insert	New Registration			4/7/2025 11:11 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/7/2025 11:11 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/7/2025 11:11 AM
Details	Medicare Provider Number	Insert	New Registration			4/7/2025 11:11 AM
Details	Entity Name	Insert	New Registration		FAMILY CENTERS INC	4/7/2025 11:11 AM
Details	NOFO Number	Insert	New Registration			4/7/2025 11:11 AM
Details	Program Code	Insert	New Registration		CH	4/7/2025 11:11 AM
Details	Entity Subname	Insert	New Registration		Family Centers Health Care at 75 Holly Hill	4/7/2025 11:11 AM
Dates	Participating Approval Date	Insert	New Registration			4/7/2025 11:11 AM
Details	State	Insert	New Registration		Pending	4/7/2025 11:11 AM
Dates	Registration Date	Insert	New Registration		4/7/2025 11:11:19 AM	4/7/2025 11:11 AM
Dates	Signed By Date	Insert	New Registration			4/7/2025 11:11 AM
Dates	Start Date	Insert	New Registration			4/7/2025 11:11 AM
Terminations	Termination Comments	Insert	New Registration			4/7/2025 11:11 AM
Terminations	Termination Date	Insert	New Registration			4/7/2025 11:11 AM
Terminations	Termination Effective Date	Insert	New Registration			4/7/2025 11:11 AM
Terminations	Termination Reason	Insert	New Registration			4/7/2025 11:11 AM

340B Drug Pricing Program Database