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CH01127AH OPTIMUS HEALTH CARE, INC. (Terminated)
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Main Details
Name
OPTIMUS HEALTH CARE, INC.
Subdivision Name
Housatonic Community College Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019230
340B ID
CH01127AH
Grant Number
H80CS00377
Additional Details
Current Program Status
Terminated
Registration Date
10/16/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/17/2017
Last Recertification Date
1/29/2020
Termination Date
Termination Reason
4/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Optimus Health Care, Inc
LUDWIG M. SPINELLI, CEO
(203) 696-3260 Ext: 3349
Primary Contact
Optimus Health Care
Tizita Fekredengel, Clinical Pharmacist
(203) 616-2235
Addresses
Street Address
900 Lafayette Boulevard
Bridgeport, CT 06604
Billing Address
OPTIMUS HEALTHCARE
982 East Main Street
Bridgeport, CT 06608
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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