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GENOA HEALTHCARE LLC
CH01208BW COMMUNITY HEALTH CENTER, INCORPORATED
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER, INCORPORATED
Subdivision Name
Bristol Technical High School
Type
HRSA-Funded Health Center
340B ID
CH01208BW
Entity Address
431 Minor St
Bristol, CT 06010-4961
Grant Number
H80CS00326
Participating Start Date
1/1/2018
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
1 HOPE ST STE P
BRISTOL, CT 06010
Pharmacy Comments
Contract Details
Approval Date
5/1/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Masselli, President and CEO
(860) 347-6971
Contract Pharmacy Representative
Optum
Sarah Green, Account Manager
(682) 559-8205
Signed By Date
5/1/2025
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