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CH01007AV Cornell Scott-Hill Health Corporation (Terminated)
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Main Details
Name
Cornell Scott-Hill Health Corporation
Subdivision Name
Safe Haven Homeless Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027980
340B ID
CH01007AV
Grant Number
H80CS00312
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2021
Participating Start Date
1/1/2022
Participating Approval Date
11/1/2021
Last Recertification Date
2/15/2023
Termination Date
Termination Reason
4/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
CORNELL SCOTT-HILL HEALTH CORPORATION
MICHAEL R. TAYLOR, CEO
(203) 503-3274
Primary Contact
Cornell Scott-Hill Health
CATHERINE SHARAFANOWICH, DIRECTOR OF PHARMACY
(203) 503-3178
Addresses
Street Address
210 State St
New Haven, CT 06510-3345
Billing Address
CORNELL SCOTT-HILL HEALTH CORPORATION
400 COLUMBUS AVE
NEW HAVEN, CT 06519-1233
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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