Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Havens Family Clinic

Family Medicine Physician in Canon City, CO · enumerated 2007 · authorized official Jason Morgan, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619011830

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Havens Family Clinic

Practice address 109 Latigo Ln, Suite C, Canon City, CO, 81212

Phone (719) 276-3211

Enumeration date Feb 19, 2007

Last updated in NPPES Mar 23, 2012

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 28791 (CO) Primary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 2124 (CO) Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License NP4805 (CO) Secondary

Authorized official

Name Jason Morgan

Title Office Manager

Phone (719) 276-3211

Other identifiers

Identifier	Type	State	Issuer
1205816949	Other	CO	INDIVIDUAL NPI NUMBER
74402374	Medicaid	CO	-
1831176924	Other	CO	INDIVIDUAL PROVIDER NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Havens Family Clinic located?

The practice location on file with NPPES is in Canon City, CO.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-03-23. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-23.