1104803444 FAIR HAVEN COMMUNITY HEALTH CLINIC INC
Federally Qualified Health Center (FQHC)
Active
Basic Information
- Organization Name
- FAIR HAVEN COMMUNITY HEALTH CLINIC INC
- Enumeration Date
- December 28, 2005
- Last Update
- October 30, 2014
- Authorized Official
- SUZANNE LAGARDE MD
CEO
Phone: (203) 777-7411
Practice Location
- Address
- 374 GRAND AVE
NEW HAVEN, CT 06513 - Phone
- (203) 777-7411
- Fax
- (203) 777-8506
Mailing Address
- Address
- 374 GRAND AVE
NEW HAVEN, CT 06513 - Phone
- (203) 777-7411
- Fax
- (203) 777-8506
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | Dental Hygienist | N/A | N/A | No |
| General Practice Dentistry General Practice | 1223G0001X | Dentist | N/A | N/A | No |
| Midwife | 176B00000X | Midwife | N/A | N/A | No |
| Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) | 261QF0400X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004235736 | 05 | CT | N/A |
Frequently Asked Questions
What is FAIR HAVEN COMMUNITY HEALTH CLINIC INC's NPI number?
FAIR HAVEN COMMUNITY HEALTH CLINIC INC's NPI number is 1104803444.
Which doctor has NPI number 1104803444?
The doctor with NPI number 1104803444 is FAIR HAVEN COMMUNITY HEALTH CLINIC INC.
What is FAIR HAVEN COMMUNITY HEALTH CLINIC INC's practice address?
FAIR HAVEN COMMUNITY HEALTH CLINIC INC's practice address is 374 GRAND AVE, NEW HAVEN, CT, 06513.
Which doctor practices at 374 GRAND AVE, NEW HAVEN, CT, 06513?
FAIR HAVEN COMMUNITY HEALTH CLINIC INC practices at 374 GRAND AVE, NEW HAVEN, CT, 06513.
What is FAIR HAVEN COMMUNITY HEALTH CLINIC INC's phone number?
FAIR HAVEN COMMUNITY HEALTH CLINIC INC's phone number is (203) 777-7411.
Who is (203) 777-7411?
(203) 777-7411 is the phone number for FAIR HAVEN COMMUNITY HEALTH CLINIC INC.
What is FAIR HAVEN COMMUNITY HEALTH CLINIC INC's specialty?
FAIR HAVEN COMMUNITY HEALTH CLINIC INC's specialty is Federally Qualified Health Center (FQHC).
What type of doctor is FAIR HAVEN COMMUNITY HEALTH CLINIC INC?
FAIR HAVEN COMMUNITY HEALTH CLINIC INC is a Federally Qualified Health Center (FQHC).
Is FAIR HAVEN COMMUNITY HEALTH CLINIC INC a Federally Qualified Health Center (FQHC)?
Yes, FAIR HAVEN COMMUNITY HEALTH CLINIC INC is a Federally Qualified Health Center (FQHC).
Is FAIR HAVEN COMMUNITY HEALTH CLINIC INC still practicing?
Yes, FAIR HAVEN COMMUNITY HEALTH CLINIC INC is currently practicing.
Is FAIR HAVEN COMMUNITY HEALTH CLINIC INC accepting new patients?
FAIR HAVEN COMMUNITY HEALTH CLINIC INC may be accepting new patients. Please call their office at (203) 777-7411 to inquire about availability.
Is NPI 1104803444 still active?
Yes, NPI 1104803444 is currently active.
Where does FAIR HAVEN COMMUNITY HEALTH CLINIC INC practice?
FAIR HAVEN COMMUNITY HEALTH CLINIC INC practices in NEW HAVEN, CT.