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

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: October 18, 2026.

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
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 ListedAdvanced Practice MidwifeTaxonomy 367A00000X
50 GRAND AVE, New Haven, CT 06513

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

Accepted Insurance

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 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

73

Medicare enrollment records show 73 clinicians reassign Medicare billing to Fair Haven Community Health Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 55 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Nurse Practitioner20
Clinical Social Worker10
Mental Health Counselor10
Internal Medicine7
Certified Nurse Midwife (CNM)6
Pediatric Medicine5
Family Practice4
Psychiatry2
9 other specialties9

Nearest to this location (20)

See all 73
Nurse Practitioner
NPI 1730713512
50 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOSSame address
Podiatry
NPI 1528224755
50 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1235928565
50 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1629065008
374 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1831642438
374 GRAND AVE
New Haven, CT 06513
(206) 512-6556
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1780241596
374 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS0.6 mi
Mental Health Counselor
NPI 1871269373
374 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS0.6 mi
Internal Medicine
NPI 1972788792
374 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS✔ Accepts Medicare0.6 mi
Mental Health Counselor
NPI 1518629419
374 GRAND AVE
New Haven, CT 06513
(203) 752-5203
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1396350237
374 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1295702181
374 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS✔ Accepts Medicare0.7 mi
Psychiatry
NPI 1346226222
374 GRAND AVE FAIR HAVEN COMMUNITY HEALTH CENTER
New Haven, CT 06513
(203) 777-7411
✔ PECOS✔ Accepts Medicare0.7 mi
Certified Nurse Midwife (CNM)
NPI 1184024580
374 GRAND AVE
New Haven, CT 06513
(203) 752-5248
✔ PECOS✔ Accepts Medicare0.7 mi
Pediatric Medicine
NPI 1356445415
374 GRAND AVE FAIR HAVEN COMMUNITY HEALTH CTR
New Haven, CT 06513
(203) 777-7411
✔ PECOS0.7 mi
Certified Nurse Midwife (CNM)
NPI 1174627236
374 GRAND AVE FAIR HAVEN COMMUNITY HEALTH CTR
New Haven, CT 06513
(203) 777-7411
✔ PECOS0.7 mi
Clinical Social Worker
NPI 1295360469
374 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS✔ Accepts Medicare0.7 mi
Family Practice
NPI 1083078695
374 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS✔ Accepts Medicare0.7 mi
Clinical Social Worker
NPI 1023879319
374 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS✔ Accepts Medicare0.7 mi
Gastroenterology
NPI 1114068848
374 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS0.7 mi
Psychiatry
NPI 1639248404
1435 STATE ST
New Haven, CT 06511
(203) 787-2727
✔ PECOS✔ Accepts Medicare1.0 mi
See all 73 clinicians

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 1811372469. It was assigned to this organization in the NPPES registry on July 24, 2015. The provider is doing business as Fair Haven Community Health Center.

Where is Fair Haven Community Health Clinic, Inc located?

Fair Haven Community Health Clinic, Inc is located at 50 Grand Ave, New Haven, CT 06513. 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, 3 practice at this address and 55 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fair Haven Community Health Clinic, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Fair Haven Community Health Clinic, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fair Haven Community Health Clinic, Inc was last updated on July 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.