Organization · Type 2 NPI
Fair Haven Community Health Clinic Inc.
Federally Qualified Health Center (FQHC) · New Haven, CT
NPI number
1871770768
Active
Practice location
339 Eastern St
New Haven, CT 06513-2463
Fax (203) 777-8506
Mailing address
374 Grand Ave
New Haven, CT 06513-3733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center | 261QD0000X | 0722 (CT) |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 0009 (CT) |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 0533 (CT) |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
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About NPI 1871770768
Fair Haven Community Health Clinic Inc.'s National Provider Identifier is 1871770768, issued on Jan 23, 2008. 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 11, 2016.