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HM06484 Connecticut Children's Hemophilia Treatment Center (Active)
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Main Details
Name
Connecticut Children's Hemophilia Treatment Center
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM06484
Grant Number
H30MC24048
Additional Details
Current Program Status
Active
Registration Date
1/3/2020
Participating Start Date
4/1/2020
Participating Approval Date
1/17/2020
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Connecticut Children's Medical Center
Sarah Matney, Chief Nursing Officer, SVP Clinical Operations
(860) 545-9791
Primary Contact
Connecticut Children's Medical Center
Jennifer Kruczek, Senior Manager, Practice Operations
(860) 545-9756
Addresses
Street Address
2 Ivy Brook Road
Suite 213
Shelton, CT 06484
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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April 2025
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