FAIR HAVEN COMMUNITY HEALTH CENTER EAST
NPI 1568832640
Clinic/Center - Federally Qualified Health Center (FQHC) in East Haven, CT
About Fair Haven Community Health Center East NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIR HAVEN COMMUNITY HEALTH CENTER EAST (NPI 1568832640) is a healthcare organization registered as a federally qualified health center (fqhc) in East Haven, Connecticut and active in the NPI registry since October 2015. The organization lists Suzanne Paula Lagarde, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fair Haven Community Health Center East is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
73Medicare enrollment records show 73 clinicians reassign Medicare billing to Fair Haven Community Health Center East, which bills Medicare for the services they deliver. Of these, 54 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 73New Haven, CT 06513
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1568832640. It was assigned to this organization in the NPPES registry on October 1, 2015. The provider is doing business as Fair Haven Community Health Center East.
Where is Fair Haven Community Health Clinic, Inc located?
Fair Haven Community Health Clinic, Inc is located at 370 Hemingway Ave, East Haven, CT 06512. 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.
Is Fair Haven Community Health Clinic, Inc enrolled in Medicare?
Yes. Fair Haven Community Health Clinic, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fair Haven Community Health Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 73 clinicians in 17 Medicare specialties reassign their Medicare billing to Fair Haven Community Health Clinic, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (20), Clinical Social Worker (10) and Mental Health Counselor (10). Of these, 54 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fair Haven Community Health Clinic, Inc was last updated on February 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fair Haven Community Health Center East · NPI 1568832640
Federally Qualified Health Center (FQHC) organization in East Haven, Connecticut. Organization record, active in the CMS NPPES registry since October 1, 2015.
## Identity
- **NPI:** 1568832640 (Entity type: Organization)
- **Enumerated:** October 1, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Fair Haven Community Health Clinic, Inc
- **Organization subpart:** No
- **Authorized official:** Suzanne Lagarde, CEO
## Practice location
- **Address:** 370 HEMINGWAY AVE, East Haven, CT 06512-3240
- **Phone:** (203) 777-7411 · **Fax:** (203) 777-8506
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 73 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (20), Clinical Social Worker (10), Mental Health Counselor (10); 54 practice within 10 miles; [full list](https://npiprofile.com/npi/1568832640/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1568832640) · Data from the CMS NPPES public registry.