Fair Haven Community Health Center East

LBN: Fair Haven Community Health Clinic, Inc
Fair Haven Community Health Center East is an health care organization with primary practice located at 370 Hemingway Ave , East Haven CT 06512-3240. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Fair Haven Community Health Clinic, Inc can be contacted via phone (203) 777-7411, or through Lagarde, Suzanne Paula via phone (203) 777-7411.

Contact Information

Primary practice address
370 Hemingway Ave East Haven CT 06512-3240
Phone: (203) 777-7411
Fax: (203) 777-8506
Website:
Map and Directions
Authorized official contact:
Name: Lagarde, Suzanne Paula Doctor of Medicine (MD)
Phone: (203) 777-7411

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1568832640
LBN Legal business name Fair Haven Community Health Clinic, Inc
DBA Doing business as Fair Haven Community Health Center East
Authorized official Lagarde, Suzanne Paula Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2015
Last updated Feb 22nd, 2016 - about 8 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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