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HAVENS FAMILY CLINIC
NPI 1982731535
Physician Assistant - Medical in Canon City, CO

Active since February 28, 2007
109 LATIGO LN, SUITE C, CANON CITY, CO 81212(719) 276-3211(719) 276-3011 Get Directions Write a Review

NPPES record last updated: November 12, 2010. 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 1982731535) is a healthcare organization registered as a medical in Canon City, Colorado and active in the NPI registry since February 2007. The organization lists Jason Morgan, Owner, as its authorized official.

NPPES Registry Identity

NPI1982731535
Entity TypeOrganization
Primary Taxonomy363AM0700X
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 · Fax (719) 276-3011
Phone(719) 276-3211
Fax(719) 276-3011
Organization SubpartNo
Authorized OfficialJason MorganOwner · (719) 276-3211
Enumeration DateFebruary 28, 2007
Last NPPES UpdateNovember 12, 2010
✔ NPI 1982731535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CO · 2124
Also ListedFamily MedicineTaxonomy 207Q00000X · License 28791 (CO)
Also ListedNurse PractitionerTaxonomy 363L00000X · License NP4805 (CO)
109 LATIGO LN, Canon City, CO 81212
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Other Identifiers 6

Medicare UPINC98044CO
Other1205816949CO · Individual Npi Provider #
Medicare UPINQ38455CO
Medicare ID-Type Unspecified063854CO
Medicaid74402374CO
Other1831176924CO · Individual Npi Provider #

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
HAVENS FAMILY CLINIC
Family Medicine
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

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 1982731535. It was assigned to this organization in the NPPES registry on February 28, 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 Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Havens Family Clinic was last updated on November 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.