Fair Haven Community Health Clinic, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Branford, Connecticut
1447767934- Practice location
- 14 Sycamore Way, Branford, CT 06405-6551
- Phone
- 203-777-7411
- Fax
- 203-777-8506
- Last updated
- January 5, 2018
Fair Haven Community Health Clinic, INC is a healthcare organization based in Branford, CT. Fair Haven Community Health Clinic, INC practices in Branford, CT. The NPI Number for Fair Haven Community Health Clinic, INC is 1447767934 and holds a License No. 0901 (CT). The current practice location address for Fair Haven Community Health Clinic, INC is 14 Sycamore Way, Branford, CT 06405-6551 and can be reached out via phone at 203-777-7411 and via fax at 203-777-8506.
Provider Profile Details
- NPI Number
- 1447767934
- Provider Name
- Fair Haven Community Health Clinic, INC
- Provider Entity Type
- Organization
- Address
- 14 Sycamore Way, Branford, CT 06405-6551
- Phone Number
- 203-777-7411
- Fax Number
- 203-777-8506
- Primary Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X
- Organization Subpart
- Yes
- Parent Organization
- Fair Haven Community Health Clinic, INC
- Authorized Official
- Yolymar Herrera · Credentialing Coordinator · 203-777-7411
- Provider Enumeration Date
- January 5, 2018
- Last Update Date
- January 5, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14 Sycamore Way
Branford, CT 06405-6551 - City
- Branford
- State
- Connecticut
- Zip
- 06405-6551
- Phone Number
- 203-777-7411
- Fax Number
- 203-777-8506
Provider Business Mailing Address Details
- Address
- 374 Grand Ave
New Haven, CT 06513-3733 - City
- New Haven
- State
- CT
- Zip
- 06513-3733
- Phone Number
- 203-752-5248
- Fax Number
- 203-786-3004
License Information
- License Number
- 0901
- License State
- CT
- Taxonomy
- 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. | |||
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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 1447767934. It was assigned on January 5, 2018 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), licensed in CT under license number 0901.
Where does Fair Haven Community Health Clinic, INC practice?
The practice location is 14 Sycamore Way, Branford, CT 06405-6551. 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 1447767934 directly on the NPPES registry website.