Fair Haven Community Health Clinic, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in New Haven, Connecticut
1811372469- Practice location
- 50 Grand Ave, New Haven, CT 06513-3949
- Phone
- 203-777-7411
- Fax
- 203-777-8506
- Last updated
- July 24, 2015
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 1811372469. The current practice location address for Fair Haven Community Health Clinic, INC is 50 Grand Ave, New Haven, CT 06513-3949 and can be reached out via phone at 203-777-7411 and via fax at 203-777-8506.
Provider Profile Details
- NPI Number
- 1811372469
- Provider Name
- Fair Haven Community Health Clinic, INC
- Provider Entity Type
- Organization
- Address
- 50 Grand Ave, New Haven, CT 06513-3949
- 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
- Other Names
- Fair Haven Community Health Center (Doing Business As)
- Provider Enumeration Date
- July 24, 2015
- Last Update Date
- July 24, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 Grand Ave
New Haven, CT 06513-3949 - City
- New Haven
- State
- Connecticut
- Zip
- 06513-3949
- 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)
- Dentist, General Practice · 1223G0001X
- Taxonomy (2)
- Dental Hygienist · 124Q00000X
- Taxonomy (3)
- Clinic/Center, Dental · 261QD0000X
- Taxonomy (4)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Taxonomy (5)
- Advanced Practice Midwife · 367A00000X
- Taxonomy (6)
- 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 1811372469. It was assigned on July 24, 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 50 Grand Ave, New Haven, CT 06513-3949. 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 1811372469 directly on the NPPES registry website.