FAIR HAVEN COMMUNITY HEALTH CLINIC INC
NPI 1104803444
Dental Hygienist in New Haven,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 28, 2005

Contact Information

374 Grand Ave
New Haven,
Post Code: 06513
Phone: (203) 777-7411
Fax: (203) 777-8506

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Fair Haven Community Health Clinic Inc in New Haven - Dental Hygienist

Fair Haven Community Health Clinic Inc is a Dental Hygienist in New Haven, . Fair Haven Community Health Clinic Inc practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Fair Haven Community Health Clinic Inc is 1104803444. The last update date is 2014-10-30.

Fair Haven Community Health Clinic Inc's current location address is 374 Grand Ave, New Haven, . You can contact this provider via phone number (203) 777-7411 and fax number (203) 777-8506. The mailing address for Fair Haven Community Health Clinic Inc is 374 Grand Ave, New Haven, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1104803444
Provider Legal Name
FAIR HAVEN COMMUNITY HEALTH CLINIC INC
Other Organization Name
FAIR HAVEN COMMUNITY HEALTH CLINIC INC
Other Name Type
-
Entity Type
Organization
Location Address
374 Grand Ave, New Haven,
Location Phone
(203) 777-7411
Location Fax
(203) 777-8506
Mailing Address
374 Grand Ave, New Haven, Connecticut(CT)
Mailing Phone
203-777-7411
Mailing Fax
203-777-8506
Enumeration Date
2005-12-28
Last Update Date
2014-10-30
Code Navigator

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, Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 124Q00000X Dental Hygienist

Dental Hygienist

()
2 1223G0001X General Practice Dentistry

Dentist, General Practice

()
3 176B00000X Midwife

Midwife

()

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) Connecticut (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.
1104803444
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104160648
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2104160648
2 + 1 + 0 + 4 + 1 + 6 + 0 + 6 + 4 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4 4

The NPI number 1104803444 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023011145 MICHAEL THERRIEN
Individual
Internal Medicine, Cardiovascular Disease 1000 ASYLUM AVE
HARTFORD, Connecticut (CT)
860-714-6581
1083617161 ANITA KELSEY
Individual
Internal Medicine, Cardiovascular Disease 1000 ASYLUM AVE
HARTFORD, Connecticut (CT)
860-714-6581
1083617831 JANET SEGEN
Individual
Nurse Anesthetist, Certified Registered 24 STEVENS ST
NORWALK, Connecticut (CT)
203-852-2276
1073516969 DMITRY MIRONOV
Individual
Anesthesiology 24 STEVENS ST
NORWALK, Connecticut (CT)
203-852-2276
1003819871 RUTH C PERRY
Individual
Nurse Anesthetist, Certified Registered 24 STEVENS ST
NORWALK, Connecticut (CT)
203-852-2276