FAIR HAVEN COMMUNITY HEALTH CLINIC INC NPI 1811372469

NPI Information

NPI: 1811372469
Provider Name: FAIR HAVEN COMMUNITY HEALTH CLINIC, INC

Doing Business As: FAIR HAVEN COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
50 GRAND AVE
NEW HAVEN, CT
ZIP 06513
Phone: (203) 777-7411
Get Directions

FAIR HAVEN COMMUNITY HEALTH CLINIC, INC is a federally qualified health center (fqhc) clinic center in New Haven, CT. FAIR HAVEN COMMUNITY HEALTH CLINIC, INC NPI is 1811372469. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fair Haven Community Health Center.

The provider's business location address is:

50 GRAND AVE
NEW HAVEN, CT
ZIP 06513-949
Phone: (203) 777-7411
Fax: (203) 777-8506

The provider's authorized official is Suzanne Lagarde .
The authorized official title is Ceo and has the following contact phone number (203) 777-7411.

The enumeration date for this NPI number is 7/24/2015 and was last updated on 7/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1223G0001X	Dentist	General Practice	No
2	124Q00000X	Dental Hygienist		No
3	261QD0000X	Clinic/Center	Dental	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
5	367A00000X	Advanced Practice Midwife		No
6	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »