340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FQHCLA458E INTERCOMMUNITY INC (Active)
Print
Main Details
Name
INTERCOMMUNITY INC
Subdivision Name
InterCommunity's Trantolo Health Center at East Hartford High School
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-020936
340B ID
FQHCLA458E
Grant Number
LALCS00170
Additional Details
Current Program Status
Active
Registration Date
1/9/2024
Participating Start Date
4/1/2024
Participating Approval Date
2/5/2024
Last Recertification Date
2/25/2025
Contacts
Authorizing Official
InterCommunity
Kim Beauregard, CEO
(860) 569-5900
Primary Contact
InterCommunity Health Care
Aneta Godlewski, VP
(860) 805-8428
Addresses
Street Address
869 Forbes St
East Hartford, CT 06118-1958
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session