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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
CH01241C STAYWELL HEALTH CARE, INC. (Active)
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Main Details
Name
STAYWELL HEALTH CARE, INC.
Subdivision Name
STAYWELL HEALTH CARE, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004736
340B ID
CH01241C
Grant Number
H80CS00350
Additional Details
Current Program Status
Active
Registration Date
1/1/2004
Participating Start Date
1/1/2004
Participating Approval Date
12/31/2003
Last Recertification Date
2/12/2025
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
80 PHOENIX AVE
WATERBURY, CT 06702-1418
Billing Address
StayWell Health Center
80 Phoenix Ave.
201
Waterbury, CT 06702-1418
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Please change the Title of Primary Contact to Executive Assistant
03/02/2022
5/8/12 - Deleted 232 N. Elm as billing address. NEW SITE 01/01/2004
05/08/2012
NEW SITE 01/01/2004
08/11/2005
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