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FAIR HAVEN COMMUNITY HEALTH CLINIC INC.
NPI 1003450347
Clinic/Center - Federally Qualified Health Center (FQHC) in Branford, CT

Active since October 30, 2019CLIA Certified · 3 labs
221 W MAIN ST, BRANFORD, CT 06405(203) 777-7411(203) 777-8506 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fair Haven Community Health Clinic Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIR HAVEN COMMUNITY HEALTH CLINIC INC. (NPI 1003450347) is a healthcare organization registered as a federally qualified health center (fqhc) in Branford, Connecticut and active in the NPI registry since October 2019. The organization holds 3 active CLIA laboratory certificates and lists Yolymar Herrera, Hr Generalist/credentialing Coord, as its authorized official.

NPPES Registry Identity

NPI1003450347
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameFAIR HAVEN COMMUNITY HEALTH CLINIC INC.
Location Address221 W MAIN STBranford, CT 06405-4022
Mailing Address374 Grand AveNew Haven, CT 06513-3733 · (203) 752-5248 · Fax (203) 282-2979
Phone(203) 777-7411
Fax(203) 777-8506
Organization SubpartNo
Authorized OfficialYolymar HerreraHr Generalist/credentialing Coord · (203) 777-7411
Enumeration DateOctober 30, 2019
✔ NPI 1003450347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
221 W MAIN ST, Branford, CT 06405
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CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2175225

Fair Haven Community Health Clinic, Inc · Branford, CT
Active · expires Nov 17, 2027
CLIA Number07D2175225
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorMellisa J. Pensa
Laboratory Phone(203) 777-7411
Laboratory LocationFair Haven Community Health Clinic, Inc221 West Main St, Branford, CT 06405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 07D0098713

Fair Haven Community Health Clinic, Inc · New Haven, CT
Active · expires Nov 27, 2026
CLIA Number07D0098713
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorMellisa J. Pensa
Laboratory Phone(203) 777-7411
Laboratory LocationFair Haven Community Health Clinic, Inc374 Grand Ave, New Haven, CT 06513
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 07D2193233

Fair Haven Community Health Clinic, Inc · New Haven, CT
Active · expires Sep 17, 2026
CLIA Number07D2193233
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorMellisa Pensa
Laboratory Phone(203) 777-7411
Laboratory LocationFair Haven Community Health Clinic, Inc150 Sargent Dr, New Haven, CT 06511
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIE E. LOWENSTEIN LCSW
Social Worker (Clinical)
221 W MAIN ST
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 871-4188
COMMUNITY HEALTH RX #2, INC.
Pharmacy (Community/Retail Pharmacy)
221 W MAIN ST
BRANFORD, CT 06405
South Central Connecticut Planning Region (617) 605-9336
ANABEL QUIROZ LPC, LMHC
Counselor (Mental Health)
221 W MAIN ST
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 871-4188
FRANCHESCA WEDDERBURN LCSW
Social Worker (Clinical)
221 W MAIN ST
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 777-7411
FAIR HAVEN COMMUNITY HEALTH CLINIC, INC
Pharmacy (Community/Retail Pharmacy)
221 W MAIN ST
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 974-5365
PRANJALI KULKARNI PHARMD
Pharmacist
221 W MAIN ST
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 974-5365
FAIR HAVEN COMMUNITY HEALTH CLINIC, INC
Pharmacy (Community/Retail Pharmacy)
221 W MAIN ST
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 777-7411
RACHEL KEELEY LPCA
Counselor (Professional)
221 W MAIN ST
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 871-4188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fair Haven Community Health Clinic Inc.'s NPI number?

The NPI number for Fair Haven Community Health Clinic Inc. is 1003450347. It was assigned to this organization in the NPPES registry on October 30, 2019.

Where is Fair Haven Community Health Clinic Inc. located?

Fair Haven Community Health Clinic Inc. is located at 221 W Main St, Branford, CT 06405. The listed phone number is (203) 777-7411.

What is Fair Haven Community Health Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Fair Haven Community Health Clinic Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Fair Haven Community Health Clinic Inc. was last updated on October 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.