Organization · Type 2 NPI

Fair Haven Community Health Clinic Inc

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

NPI number 1104803444 Active

Practice location

374 Grand Ave
New Haven, CT 06513

Call (203) 777-7411 Map

Fax (203) 777-8506

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XNone listed
Dental Hygienist 124Q00000XNone listed
Midwife 176B00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1104803444

Fair Haven Community Health Clinic Inc's National Provider Identifier is 1104803444, issued on Dec 28, 2005. 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 Oct 30, 2014.