Organization · Type 2 NPI

Fair Haven Community Health Clinic, Inc

Federally Qualified Health Center (FQHC) · New Haven, CT

NPI number 1043679863 Active

Practice location

426 East St
New Haven, CT 06511-5018

Call (203) 777-7411 Map

Fax (203) 777-8506

Mailing address

374 Grand Ave
New Haven, CT 06513-3733

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1043679863

Fair Haven Community Health Clinic, Inc's National Provider Identifier is 1043679863, issued on Feb 22, 2016. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in New Haven, CT. The record was last updated on Feb 22, 2016.