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CH01241K Staywell Health Care, Inc. (Active)
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Main Details
Name
Staywell Health Care, Inc.
Subdivision Name
StayWell Health Center at Western CT Mental Health Network
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006921
340B ID
CH01241K
Grant Number
H80CS00350
Additional Details
Current Program Status
Active
Registration Date
10/13/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/17/2017
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
95 Thomaston Ave
Waterbury, CT 06702-1007
Billing Address
StayWell Health Center
80 Phoenix Ave.
201
201
Waterbury, CT 06702-1418
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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