Fair Haven Community Health Clinic INC
Clinic/Center, Federally Qualified Health Center (FQHC) in New Haven, Connecticut
1104803444- Practice location
- 374 Grand Ave, New Haven, CT 06513
- Phone
- 203-777-7411
- Fax
- 203-777-8506
- Last updated
- October 30, 2014
Fair Haven Community Health Clinic INC is a healthcare organization based in New Haven, CT. Fair Haven Community Health Clinic INC practices in New Haven, CT. The NPI Number for Fair Haven Community Health Clinic INC is 1104803444. The current practice location address for Fair Haven Community Health Clinic INC is 374 Grand Ave, New Haven, CT 06513 and can be reached out via phone at 203-777-7411 and via fax at 203-777-8506.
Provider Profile Details
- NPI Number
- 1104803444
- Provider Name
- Fair Haven Community Health Clinic INC
- Provider Entity Type
- Organization
- Address
- 374 Grand Ave, New Haven, CT 06513
- Phone Number
- 203-777-7411
- Fax Number
- 203-777-8506
- Primary Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X
- Organization Subpart
- No
- Authorized Official
- Suzanne Lagarde, MD · Ceo · 203-777-7411
- Provider Enumeration Date
- December 28, 2005
- Last Update Date
- October 30, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 374 Grand Ave
New Haven, CT 06513 - City
- New Haven
- State
- Connecticut
- Zip
- 06513
- Phone Number
- 203-777-7411
- Fax Number
- 203-777-8506
Provider Business Mailing Address Details
- Address
- 374 Grand Ave
New Haven, CT 06513 - City
- New Haven
- State
- CT
- Zip
- 06513
- Phone Number
- 203-777-7411
- Fax Number
- 203-777-8506
License Information
- Taxonomy (1)
- Dental Hygienist · 124Q00000X
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X
- Taxonomy (3)
- Midwife · 176B00000X
- Taxonomy (4)
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Federally Qualified Health Center (FQHC) providers near New Haven, CT
View all Clinic/Center, Federally Qualified Health Center (FQHC) providers in New Haven →- Cornell Scott Hill Health CorporationClinic/Center, Federally Qualified Health Center (FQHC) · NPI 1427351626
- Cornell Scott Hill Health CorporationClinic/Center, Federally Qualified Health Center (FQHC) · NPI 1902921380
- Cornell Scott Hill Health CorporationClinic/Center, Federally Qualified Health Center (FQHC) · NPI 1578866364
- Cornell Scott Hill Health CorporationClinic/Center, Federally Qualified Health Center (FQHC) · NPI 1376871822
- Cornell Scott Hill Health CorporationClinic/Center, Federally Qualified Health Center (FQHC) · NPI 1407159841
- Fair Haven Community Health Clinic INC.Clinic/Center, Federally Qualified Health Center (FQHC) · NPI 1871770768
Frequently Asked Questions
What is the NPI number of Fair Haven Community Health Clinic INC?
The NPI number of Fair Haven Community Health Clinic INC is 1104803444. It was assigned on December 28, 2005 and is currently active in the NPPES registry.
What is the specialty of Fair Haven Community Health Clinic INC?
Fair Haven Community Health Clinic INC is registered under the primary taxonomy Clinic/Center, Federally Qualified Health Center (FQHC) (code 261QF0400X).
Where does Fair Haven Community Health Clinic INC practice?
The practice location is 374 Grand Ave, New Haven, CT 06513. The office can be reached at 203-777-7411 (phone) or 203-777-8506 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104803444 directly on the NPPES registry website.