Fair Haven Community Health Clinic, Inc

LBN: Fair Haven Community Health Clinic, Inc
Fair Haven Community Health Clinic, Inc is an health care organization with primary practice located at 14 Sycamore Way , Branford CT 06405-6551. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Fair Haven Community Health Clinic, Inc can be contacted via phone (203) 777-7411, or through Herrera, Yolymar via phone (203) 777-7411.

Contact Information

Primary practice address
14 Sycamore Way Branford CT 06405-6551
Phone: (203) 777-7411
Fax: (203) 777-8506
Website:
Map and Directions
Authorized official contact:
Name: Herrera, Yolymar
Phone: (203) 777-7411

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 0901 Connecticut

Profile Details

NPI number 1447767934
LBN Legal business name Fair Haven Community Health Clinic, Inc
DBA Doing business as
Authorized official Herrera, Yolymar
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 5th, 2018
Last updated Jan 5th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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