Havens Family Clinic
NPI 1619011830ActiveOrganization· Family Medicine· Canon City, CO
Family Medicine in Canon City, Colorado, registered in NPPES in February 2007. The authorized official on file is Jason Morgan, PA, Office Manager.
Overview
| NPI | 1619011830 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2007 |
| Last updated in NPPES | Mar 23, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 28791 | CO |
| Physician Assistant | 363A00000X | 2124 | CO |
| Nurse Practitioner | 363L00000X | NP4805 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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