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CH01127M OPTIMUS HEALTH CARE, INC. (Active)
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Main Details
Name
OPTIMUS HEALTH CARE, INC.
Subdivision Name
OPTIMUS PARK CITY PRIMARY CARE CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001793
340B ID
CH01127M
Grant Number
H80CS00377
Additional Details
Current Program Status
Active
Registration Date
1/1/2004
Participating Start Date
1/1/2004
Participating Approval Date
6/7/2005
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Optimus Health Care, Inc.
Karen A Daley, Chief Executive Officer
(203) 608-3387
Primary Contact
Optimus Health Care
Tizita Fekredengel, Clinical Pharmacist
(203) 616-2235
Addresses
Street Address
64 BLACKROCK AVENUE
BRIDGEPORT, CT 06605
Billing Address
OPTIMUS HEALTH CARE, INC.
471 BARNUM AVENUE
BRIDGEPORT, CT 06608
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 01/01/2004, 6/7/05 - NEW CONTACT; 10/19/06 - NEW NAME (WAS BRIDGEPORT COMMUNITY HEALTH CENTER, INC.)
10/19/2006
May 2025
May 2025
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