Organization · Type 2 NPI
Fair Haven Community Health Clinic, Inc
Federally Qualified Health Center (FQHC) · Branford, CT
NPI number
1447767934
Active
Practice location
14 Sycamore Way
Branford, CT 06405-6551
Fax (203) 777-8506
Mailing address
374 Grand Ave
New Haven, CT 06513-3733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 0901 (CT) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1447767934
Fair Haven Community Health Clinic, Inc's National Provider Identifier is 1447767934, issued on Jan 5, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Branford, CT. The record was last updated on Jan 5, 2018.