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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HAVENS FAMILY CLINIC

Active Organization

HAVENS FAMILY CLINIC is a Medical Physician Assistant organization located in CANON CITY, Colorado. NPI 1982731535 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · CANON CITY, CO

Registration Details

NPI Number
1982731535
Provider Type
Organization
NPI Issued
Feb 28, 2007 (19.470478641385 yrs)
Last Updated
Nov 12, 2010
Licenses
28791 (CO)
NP4805 (CO)
2124 (CO)

Practice Information

Address
109 LATIGO LN
SUITE C
CANON CITY, CO, 812128112
Browse CO providers · Browse ZIP 81212
Phone
7192763211
Fax
7192763011
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Nurse Practitioner
Additional Specialty
Medical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.