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HAVENS FAMILY CLINIC
NPI 1619011830
Family Medicine in Canon City, CO

Active since February 19, 2007
109 LATIGO LN, SUITE C, CANON CITY, CO 81212(719) 276-3211 Get Directions Write a Review

NPPES record last updated: March 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Havens Family Clinic NPPES

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

HAVENS FAMILY CLINIC (NPI 1619011830) is a healthcare organization registered as a family medicine in Canon City, Colorado and active in the NPI registry since February 2007. The organization lists Jason Morgan, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619011830
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHAVENS FAMILY CLINIC
Location Address109 LATIGO LN, SUITE CCanon City, CO 81212-8112
Mailing Address109 Latigo Ln, Suite CCanon City, CO 81212-8112 · (719) 276-3211
Phone(719) 276-3211
Organization SubpartNo
Authorized OfficialJason MorganOffice Manager · (719) 276-3211
Enumeration DateFebruary 19, 2007
Last NPPES UpdateMarch 23, 2012
✔ NPI 1619011830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 28791
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X · License 2124 (CO)
Also ListedNurse PractitionerTaxonomy 363L00000X · License NP4805 (CO)
109 LATIGO LN, Canon City, CO 81212
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Other Identifiers 9

Medicare UPINQ38455CO
Medicare ID-Type Unspecified824694512CO
Medicare ID-Type Unspecified262008CO
Medicare ID-Type Unspecified262018CO
Medicare UPINC98044CO
Medicaid74402374CO
Other1205816949CO · Individual Npi Number
Other1831176924CO · Individual Provider Npi
Medicare ID-Type Unspecified000097212CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAVENS FAMILY CLINIC
Nurse Practitioner (Family)
109 LATIGO LN, SUITE C
CANON CITY, CO 81212
Fremont County (719) 276-3211
YOUNG AND GRAHAM PC
Chiropractor
109 LATIGO LN, SUITE A
CANON CITY, CO 81212
Fremont County (719) 276-3189
VILLAGE PHYSICAL THERAPY, P.C.
Physical Therapist
109 LATIGO LN, SUITE A
CANON CITY, CO 81212
Fremont County (719) 562-0328
CANON CITY COUNSELING & PSYCHOTHERAPY SERVICES
Social Worker (Clinical)
109 LATIGO LN, SUITE E-2
CANON CITY, CO 81212
Fremont County (719) 275-4442
HAVENS FAMILY CLINIC
Physician Assistant (Medical)
109 LATIGO LN, SUITE C
CANON CITY, CO 81212
Fremont County (719) 276-3211

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 Havens Family Clinic's NPI number?

The NPI number for Havens Family Clinic is 1619011830. It was assigned to this organization in the NPPES registry on February 19, 2007.

Where is Havens Family Clinic located?

Havens Family Clinic is located at 109 Latigo Ln Suite C, Canon City, CO 81212. The listed phone number is (719) 276-3211.

What is Havens Family Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Havens Family Clinic was last updated on March 23, 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.