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HV01698A Waterbury Hospital (Terminated)
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Main Details
Name
Waterbury Hospital
Subdivision Name
Infectious Disease and Travel Clinic
Type
Ryan White Part C
340B ID
HV01698A
Grant Number
H76HA01698
Additional Details
Current Program Status
Terminated
Registration Date
10/10/2012
Participating Start Date
1/1/2013
Participating Approval Date
11/8/2012
Last Recertification Date
2/23/2017
Time Period the Assistance was Received
Termination Date
Termination Reason
4/1/2017
Failure to recertify
Contacts
Authorizing Official
Steven I. Aronin, Chief, Section of Infectious Disease
(203) 573-7228
Primary Contact
Steven I. Aronin, Chief, Section of Infectious Disease
(203) 573-7228
Addresses
Street Address
140 Grandview Avenue, Suite L-01
Waterbury, CT 06708-2613
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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11/7/12 - Reviewed registration and forwarded to IS for approval 2nd site verified by PO.
11/07/2012
May 2025
May 2025
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