FAIR HAVEN COMMUNITY HEALTH CLINIC, INC
NPI 1588263016
Clinic/Center - Multi-Specialty in New Haven, CT
NPI Status: Active since October 26, 2020
Contact Information
150 SARGENT DR STE 1-300
NEW HAVEN, CT
ZIP 06511
Phone: (203) 777-7411
Fax: (203) 497-1887
- Organization
- Clinic/Center
- Multi-Specialty
About FAIR HAVEN COMMUNITY HEALTH CLINIC, INC
This page provides the complete NPI Profile along with additional information for Fair Haven Community Health Clinic, Inc, a provider established in New Haven, Connecticut operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1588263016 assigned on October 2020. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Yolymar Herrera (Credentialing Manager)
- NPI
- 1588263016
- Provider Name
- FAIR HAVEN COMMUNITY HEALTH CLINIC, INC
- Entity Type
- Organization
- Location Address
- 150 SARGENT DR STE 1-300 NEW HAVEN, CT 06511
- Location Phone
- (203) 777-7411
- Location Fax
- (203) 497-1887
- Mailing Address
- 374 GRAND AVE NEW HAVEN, CT 06513
- Mailing Phone
- (203) 777-7411
- Mailing Fax
- (203) 497-1887
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-26-2020
- Last Update Date
- 10-26-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 004235736 | MEDICAID (05) | CT |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 8 | 8 | 2 | 6 | 3 | 0 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 4 | 6 | 6 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 4 + 6 + 6 + 0 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1588263016 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588263016, enumerated in the NPI registry as an "organization" on October 26, 2020
The provider is located at 150 Sargent Dr Ste 1-300 New Haven, Ct 06511 and the phone number is (203) 777-7411
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 26, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.