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CH01241J STAYWELL HEALTH CARE, INC. (Active)
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Main Details
Name
STAYWELL HEALTH CARE, INC.
Subdivision Name
StayWell Health Center at St. V's
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005790
340B ID
CH01241J
Grant Number
H80CS00350
Additional Details
Current Program Status
Active
Registration Date
10/4/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/24/2016
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
114 Benedict St
Waterbury, CT 06706-1007
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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April 2025
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