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CH01208AW COMMUNITY HEALTH CENTER, INCORPORATED (Terminated)
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Main Details
Name
COMMUNITY HEALTH CENTER, INCORPORATED
Subdivision Name
Trailblazers Academy/Domus Charter Schools SBHC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010068
340B ID
CH01208AW
Grant Number
H80CS00326
Additional Details
Current Program Status
Terminated
Registration Date
4/8/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/3/2013
Last Recertification Date
2/8/2024
Termination Date
Termination Reason
4/1/2025
Other
Contacts
Authorizing Official
Community Health Center, Inc
Mark Masselli, President and CEO
(860) 347-6971
Primary Contact
Community Health Center, Inc
Felipe Moreno, 340B Program Manager
(860) 930-5419
Addresses
Street Address
83 Lockwood Ave
Stamford, CT 06902-4201
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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