FAIR HAVEN COMMUNITY HEALTH CENTER
NPI 1811372469
Clinic/Center - Federally Qualified Health Center (FQHC) in New Haven, CT

Q: 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.

Active since July 24, 2015

50 GRAND AVE, NEW HAVEN, CT 06513(203) 777-7411(203) 777-8506 Get Directions Write a Review

NPPES record last updated: July 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fair Haven Community Health Center NPPES

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

FAIR HAVEN COMMUNITY HEALTH CENTER (NPI 1811372469) is a healthcare organization registered as a federally qualified health center (fqhc) in New Haven, Connecticut and active in the NPI registry since July 2015. The organization lists Suzanne Lagarde, Ceo, as its authorized official.

NPPES Registry Identity

NPI1811372469

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameFAIR HAVEN COMMUNITY HEALTH CLINIC, INC

Location Address50 GRAND AVENew Haven, CT 06513-3949

Mailing Address374 Grand AveNew Haven, CT 06513-3733 · (203) 777-7411 · Fax (203) 777-8506

Phone(203) 777-7411

Fax(203) 777-8506

Organization SubpartNo

Authorized OfficialSuzanne LagardeCeo · (203) 777-7411

Enumeration DateJuly 24, 2015

✔ NPI 1811372469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedDentist · General PracticeTaxonomy 1223G0001X

Also ListedDental HygienistTaxonomy 124Q00000X

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X

50 GRAND AVE, New Haven, CT 06513

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Other Names 1

Doing Business AsFair Haven Community Health Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

ESTHEFFY GONZALEZ PANTALEON

Dental Hygienist