Organization
FAIR HAVEN COMMUNITY HEALTH CLINIC INC
Active
Other names
Fair Haven Community Health Care at 424 Chapel
Organization subpart
No
Provider details
NPI number
Authorized official
BAIN PATRIE (CREDENTIALING MANAGER)
(203) 777-7411
Entity
Organization
Contact information
Practice address
424 CHAPEL ST, NEW HAVEN, CT 06511-5807
(203) 777-7411
Mailing address
424 CHAPEL ST, NEW HAVEN, CT 06511-5807
(203) 777-7411
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
07/19/2025
Last updated
07/19/2025
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