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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
CH01241A STAYWELL HEALTH CARE, INC. (Terminated)
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Main Details
Name
STAYWELL HEALTH CARE, INC.
Subdivision Name
DRIGGS SCHOOL BASED HLTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000451
340B ID
CH01241A
Grant Number
H80CS00350
Additional Details
Current Program Status
Terminated
Registration Date
1/1/2004
Participating Start Date
1/1/2004
Participating Approval Date
12/31/2003
Last Recertification Date
2/16/2023
Termination Date
Termination Reason
4/1/2024
Other
Contacts
Authorizing Official
StayWell Health Care Inc.
Donald Thompson, CEO
(203) 756-8021 Ext: 3016
Primary Contact
StayWell Health Care Inc.
Donna DeRosa, Executive Assistant
(203) 756-8021 Ext: 3013
Addresses
Street Address
77 Woodlawn Ter
Waterbury, CT 06710-1721
Billing Address
STAY WELL HEALTH CARE, INC.
80 PHOENIX AVENUE
SUITE 201
WATERBURY, CT 06702
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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