OrganizationActive
Fair Haven Community Health Clinic Inc
NPI 1104803444 · Federally Qualified Health Center (FQHC) · New Haven, CT
Provider details
- NPI number
- 1104803444
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Suzanne Lagarde, Ceo(203) 777-7411
Specialties & taxonomies
Ambulatory Health Care Facilities
- Dental Hygienist124Q00000X
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
- Midwife176B00000X
Other Service Providers
Practice location
374 Grand Ave
New Haven, CT 06513
Phone: (203) 777-7411
Fax: (203) 777-8506
Approximate (ZIP-level) locationGet directions
Mailing address
374 Grand Ave
New Haven, CT 06513
Registry dates
- Enumerated
- 2005-12-28
- Last updated
- 2014-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.