Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Havens Family Clinic

Organization Family Medicine Physician · NPI 1619011830

Havens Family Clinic provides Family Medicine Physician services in Canon City, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
Specialties on file
3

Practice location Address checks out

109 Latigo Ln Ste C
Canon City, CO 81212-8112 Not confirmed with CMS for 14 years — call before visiting
Phone: (719) 276-3211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 28791 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 2124 (CO)
Nurse Practitioner Taxonomy 363L00000X · Licence NP4805 (CO)

Record details

NPI number1619011830
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Morgan — Office Manager · (719) 276-3211
NPI enumeratedFebruary 19, 2007
Last updated in NPPESMarch 23, 2012
Mailing address109 Latigo Ln, Suite C, Canon City, CO 81212-8112

Other providers in Canon City