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FAIR HAVEN COMMUNITY HEALTH CENTER
NPI 1871770768
Clinic/Center - Federally Qualified Health Center (FQHC) in New Haven, CT

Active since January 23, 2008
339 EASTERN ST, NEW HAVEN, CT 06513(203) 777-7411(203) 777-8506 Get Directions Write a Review

NPPES record last updated: February 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 11, 2016, Dec 11, 2015 (2 updates tracked since 2015).

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 1871770768) is a healthcare organization registered as a federally qualified health center (fqhc) in New Haven, Connecticut and active in the NPI registry since January 2008. The organization lists Suzanne P Lagarde, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871770768
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameFAIR HAVEN COMMUNITY HEALTH CLINIC INC.
Location Address339 EASTERN STNew Haven, CT 06513-2463
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 P LagardeCeo · (203) 752-5129
Enumeration DateJanuary 23, 2008
Last NPPES UpdateFebruary 11, 20162 updates tracked since enumeration
✔ NPI 1871770768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CT · 0009
Also ListedClinic/Center · DentalTaxonomy 261QD0000X · License 0722 (CT)
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License 0533 (CT)
339 EASTERN ST, New Haven, CT 06513
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Other Names 1

Doing Business AsFair Haven Community Health Center

Other Identifiers 4

Medicaid004235736CT
Medicare OSCAR/certificationC00591CT
Medicare OSCAR/certification071817CT
Medicare PIN07-1805CT

Other Providers at the Same Location NPPES

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

MR. MARC I ROBERTSON
Physical Therapist
339 EASTERN ST, SUITE 317
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 468-7002

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 1871770768. It was assigned to this organization in the NPPES registry on January 23, 2008. 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 339 Eastern St, 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.

When was this NPI record last updated?

The NPPES record for Fair Haven Community Health Clinic Inc. was last updated on February 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.