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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
CH01241H STAYWELL HEALTH CARE, INC. (Active)
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Main Details
Name
STAYWELL HEALTH CARE, INC.
Subdivision Name
StayWell Naugatuck Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018214
340B ID
CH01241H
Grant Number
H80CS00350
Additional Details
Current Program Status
Active
Registration Date
10/2/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/7/2016
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
30 Church Street
Naugatuck, CT 06770
Billing Address
StayWell 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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