| Fair Haven Community Health Clinic, Inc | |
|
150 Sargent Dr Ste 1-300 New Haven CT 06511-6100 | |
| (203) 777-7411 | |
| (203) 497-1887 |
| Full Name | Fair Haven Community Health Clinic, Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 150 Sargent Dr Ste 1-300, New Haven, Connecticut |
| Authorized Official Name and Position | Yolymar Herrera (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2037777411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fair Haven Community Health Clinic, Inc 374 Grand Ave New Haven CT 06513-3733 Ph: (203) 777-7411 | Fair Haven Community Health Clinic, Inc 150 Sargent Dr Ste 1-300 New Haven CT 06511-6100 Ph: (203) 777-7411 |
| NPI Number | 1588263016 |
|---|---|
| Provider Enumeration Date | 10/26/2020 |
| Last Update Date | 10/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588263016 | NPI | - | NPPES |
| 004235736 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Luis R. Cruz, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1552 Chapel St, New Haven, CT 06511 Phone: 203-624-2117 | |
Fair Haven Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 426 East St, New Haven, CT 06511 Phone: 203-777-7411 Fax: 203-777-8506 | |
New Haven Public Schools Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 Meadow St, New Haven, CT 06519 Phone: 203-946-8969 Fax: 203-946-8664 | |
Leonard A . Fasano Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 Whalley Ave, New Haven, CT 06515 Phone: 203-387-2569 Fax: 203-387-9245 | |
Cardiology Associates Of New Haven, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Temple St, New Haven, CT 06510 Phone: 203-789-2272 Fax: 203-287-3963 | |
Yale New Haven Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-9335 | |
Sg Medical Professionals Ct Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Clifton St, New Haven, CT 06513 Phone: 718-362-1403 Fax: 718-414-1651 |