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GENOA HEALTHCARE LLC
CH01208ER COMMUNITY HEALTH CENTER, INCORPORATED
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER, INCORPORATED
Subdivision Name
Wesley Elementary School SBHC
Type
HRSA-Funded Health Center
340B ID
CH01208ER
Entity Address
10 Wesleyan Hills Rd
Middletown, CT 06457
Grant Number
H80CS00326
Participating Start Date
4/1/2020
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
230 MAIN STREET EXT
SUITE A
MIDDLETOWN, CT 06457-4470
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Masselli, President and CEO
(860) 347-6971
Contract Pharmacy Representative
Optum
Jeff Noone, National Account Manager
(412) 973-2453
Signed By Date
4/15/2024
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