Fair Haven Community Health Clinic, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in East Haven, Connecticut
1568832640- Practice location
- 370 Hemingway Ave, East Haven, CT 06512-3240
- Phone
- 203-777-7411
- Fax
- 203-777-8506
- Last updated
- February 22, 2016
Fair Haven Community Health Clinic, INC is a healthcare organization based in East Haven, CT. Fair Haven Community Health Clinic, INC practices in East Haven, CT. The NPI Number for Fair Haven Community Health Clinic, INC is 1568832640. The current practice location address for Fair Haven Community Health Clinic, INC is 370 Hemingway Ave, East Haven, CT 06512-3240 and can be reached out via phone at 203-777-7411 and via fax at 203-777-8506.
Provider Profile Details
- NPI Number
- 1568832640
- Provider Name
- Fair Haven Community Health Clinic, INC
- Provider Entity Type
- Organization
- Address
- 370 Hemingway Ave, East Haven, CT 06512-3240
- 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
- Mrs. Suzanne Paula Lagarde, MD · Ceo · 203-777-7411
- Other Names
- Fair Haven Community Health Center East (Doing Business As)
- Provider Enumeration Date
- October 1, 2015
- Last Update Date
- February 22, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 370 Hemingway Ave
East Haven, CT 06512-3240 - City
- East Haven
- State
- Connecticut
- Zip
- 06512-3240
- 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
- 203-777-7411
- Fax Number
- 203-777-8506
License Information
- Taxonomy (1)
- Family Medicine · 207Q00000X
- Taxonomy (2)
- Internal Medicine · 207R00000X
- Taxonomy (3)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- 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. | |||
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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 1568832640. It was assigned on October 1, 2015 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 370 Hemingway Ave, East Haven, CT 06512-3240. 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 1568832640 directly on the NPPES registry website.