| Havens Family Clinic | |
|
109 Latigo Ln Suite C Canon City CO 81212-8112 | |
| (719) 276-3211 | |
| Not Available |
| Full Name | Havens Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 109 Latigo Ln, Canon City, Colorado |
| Authorized Official Name and Position | Jason Morgan (OFFICE MANAGER) |
| Authorized Official Contact | 7192763211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Havens Family Clinic 109 Latigo Ln Suite C Canon City CO 81212-8112 Ph: (719) 276-3211 | Havens Family Clinic 109 Latigo Ln Suite C Canon City CO 81212-8112 Ph: (719) 276-3211 |
| NPI Number | 1619011830 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 03/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619011830 | NPI | - | NPPES |
| 1205816949 | Other | CO | INDIVIDUAL NPI NUMBER |
| 74402374 | Medicaid | CO | |
| 1831176924 | Other | CO | INDIVIDUAL PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 28791 (Colorado) | Primary |
| 363A00000X | Physician Assistant | 2124 (Colorado) | Secondary |
| 363L00000X | Nurse Practitioner | NP4805 (Colorado) | Secondary |
Desert River Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 712 Macon Ave, Canon City, CO 81212 Phone: 719-285-8890 | |
Ncaldwell Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 702-453-3799 Fax: 702-453-5741 | |
James F. Reppert, M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1335 Phay Ave Ste A, Canon City, CO 81212 Phone: 719-275-4151 Fax: 719-275-3743 | |
Colorado Mountain Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 S 7th St Ste 112, Canon City, CO 81212 Phone: 719-299-0988 | |
Rocky Mountain Clinics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Main St, Canon City, CO 81212 Phone: 209-309-1885 | |
Button Family Practice Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 715 South 9th Street, Canon City, CO 81212 Phone: 719-269-8820 Fax: 719-204-0230 | |
Marc A. Sindler, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N 5th St, Canon City, CO 81212 Phone: 719-275-4137 |