HAVEN HEALTH CARE MEDICAL CLINIC, INC
NPI 1336278365
Clinic/Center - Rural Health in Advance, MO

Q: What is Haven Health Care Medical Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since March 05, 2007

502 W STURDIVANT ST, ADVANCE, MO 63730(573) 722-9191(573) 722-9393 Get Directions Write a Review

NPPES record last updated: August 10, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Haven Health Care Medical Clinic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAVEN HEALTH CARE MEDICAL CLINIC, INC (NPI 1336278365) is a healthcare organization registered as a rural health in Advance, Missouri and active in the NPI registry since March 2007. The organization lists Nova C Crawford, President, as its authorized official.

NPPES Registry Identity

NPI1336278365

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameHAVEN HEALTH CARE MEDICAL CLINIC, INC

Location Address502 W STURDIVANT STAdvance, MO 63730-7261

Mailing Address502 W Sturdivant St, Po Box 137Advance, MO 63730-7261 · (573) 722-9191 · Fax (573) 722-9393

Phone(573) 722-9191

Fax(573) 722-9393

Organization SubpartNo

Authorized OfficialNova C CrawfordPresident · (573) 722-9191

Enumeration DateMarch 5, 2007

Last NPPES UpdateAugust 10, 2012

✔ NPI 1336278365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in MO · 268934

502 W STURDIVANT ST, Advance, MO 63730

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Other Identifiers 2

Medicaid597241306MO

Medicare ID-Type Unspecified268934MO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Haven Health Care Medical Clinic, Inc's NPI number?

The NPI number for Haven Health Care Medical Clinic, Inc is 1336278365. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Haven Health Care Medical Clinic, Inc located?

Haven Health Care Medical Clinic, Inc is located at 502 W Sturdivant St, Advance, MO 63730. The listed phone number is (573) 722-9191.

What is Haven Health Care Medical Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Haven Health Care Medical Clinic, Inc was last updated on August 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.