Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
FAIR HAVEN COMMUNITY HEALTH CLINIC INC
Active
Organization
FAIR HAVEN COMMUNITY HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAIN PATRIE (CREDENTIALING MANAGER)
(203) 777-7411
Entity
Organization
Contact information
Practice address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 777-7411
Mailing address
374 GRAND AVE, GRAND PHARMACY 374, NEW HAVEN, CT 06513-3733
(203) 777-7411
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up