NPI 1003450347

Fair Haven Community Health Clinic INC.

Organisation Federally Qualified Health Center (FQHC) Branford, CT

Practice location

Address: 221 W Main St, Branford, CT 06405-4022
Phone: (203) 777-7411
Fax: (203) 777-8506
Mailing address: 374 Grand Ave, New Haven, CT 06513-3733

Authorised official

Name: Yolymar Herrera
Title: Hr Generalist/Credentialing Coord
Phone: (203) 777-7411

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in Connecticut →

Registry record

NPI: 1003450347
Entity type: Organization
NPI issued: 30 Oct 2019
Record last updated: 30 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.