Fair Haven Community Health Clinic Inc is a Dental Clinic in New Haven, Connecticut. It is located at 374 Grand Ave, New Haven, CT and its contact number is 203-777-7411. The authorized person for Fair Haven Community Health Clinic Inc is Suzanne Lagarde
who is Ceo of the clinic and their contact number is 203-777-7411. Fair Haven Community Health Clinic Inc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Fair Haven Community Health Clinic Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Fair Haven Community Health Clinic Inc
Specialization:
General Practice Dentistry
Clinic Address:
374 Grand Ave, New Haven, Connecticut, 06513
Phone:
203-777-7411
Fax:
203-777-8506
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Suzanne Lagarde
Position:
Ceo
Contact Number:
203-777-7411
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Fair Haven Community Health Clinic Inc clinic are as mentioned below.
NPI Number:
1104803444
NPI Enumeration Date:
28 Dec, 2005
NPI Last Update On:
30 Oct, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fair Haven Community Health Clinic Inc are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
Primary
General Practice
Secondary
Dental Hygienist
Secondary
Midwife
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
004235736
Medicaid
Connecticut
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Fair Haven Community Health Clinic Inc 374 Grand Ave, New Haven, Connecticut
Zip:
06513
Phone Number:
203-777-7411
Fax Number:
203-777-8506
Patients can reach Fair Haven Community Health Clinic Inc at 374 Grand Ave, New Haven, Connecticut or can call to book an appointment on 203-777-7411. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.