NPIMap

Fair Haven Community Health Clinic Inc

A Medicare group practice based in New Haven, CT: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 4183511538), with 73 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4183511538The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only), Part B Supplier - Pharmacy
Enrolled in
CT
Enrollments
20
Group size
45 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
35In 4 places

Enrollment records 20

Enrollment IDStateProvider typeNPI
O20040302000135 CT Part B Supplier - Clinic/Group Practice 1104803444
O20081121000689 CT Part A Provider - Federally Qualified Health Center (FQHC) 1104803444
O20090122000167 CT Part A Provider - Federally Qualified Health Center (FQHC) 1104803444
O20090122000080 CT Part A Provider - Federally Qualified Health Center (FQHC) 1104803444
O20200422001095 CT Part A Provider - Federally Qualified Health Center (FQHC) 1104803444
O20180212001946 CT Part A Provider - Federally Qualified Health Center (FQHC) 1104803444
O20180212000572 CT Part A Provider - Federally Qualified Health Center (FQHC) 1104803444
O20180212000696 CT Part A Provider - Federally Qualified Health Center (FQHC) 1104803444
O20130719000549 CT Part A Provider - Federally Qualified Health Center (FQHC) 1104803444
O20130724000073 CT Part A Provider - Federally Qualified Health Center (FQHC) 1104803444
O20130716000882 CT Part A Provider - Federally Qualified Health Center (FQHC) 1104803444
O20150105001271 CT Part A Provider - Federally Qualified Health Center (FQHC) 1104803444
O20250127000090 CT Part B Supplier - Mass Immunization (Roster Biller Only) 1346984838
O20250214000649 CT Part B Supplier - Mass Immunization (Roster Biller Only) 1760051486
O20230705002609 CT Part A Provider - Federally Qualified Health Center (FQHC) 1104803444
O20230217002650 CT Part A Provider - Federally Qualified Health Center (FQHC) 1104803444
O20230215003023 CT Part A Provider - Federally Qualified Health Center (FQHC) 1104803444
O20240209001442 CT Part A Provider - Federally Qualified Health Center (FQHC) 1104803444
O20240916002505 CT Part B Supplier - Pharmacy 1760051486
O20231221001330 CT Part A Provider - Federally Qualified Health Center (FQHC) 1104803444

NPIs in this group 8

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 73

Clinicians who reassign their Medicare benefits to this group (72) or whom Care Compare lists as members (45).

Sources for this page