HAVEN CLINIC (NPI# 1235753948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235753948 |
| Entity Type | Organization |
| Organization Name | HAVEN CLINIC |
| Practice Address |
1150 N 25th St Ste D Grand Junction CO 81501-6561 |
| Practice Telephone | 9709854066 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | MARTHA AMOS (OWNER) |
| Authorized Official Telephone | 9709854066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Haven Clinic | 1150 N. 25th St, Suite D, Grand Junction, CO 81501 |
| Street Address |
1150 N 25TH ST STE D |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-6561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651480 | Scl Health Medical Group - Denver, LLC | Family Medicine | 2600 Campus Dr Ste A, Lafayette, CO 80026-3358 | 2020-08-28 |
| 1528606795 | Denver Recovery Group LLC | Family Medicine | 2531 Airport Rd, Colorado Springs, CO 80910-3119 | 2019-12-18 |
| 1598312241 | Denver Recovery Group LLC | Family Medicine | 72 E Arapahoe Rd, Littleton, CO 80122-8001 | 2019-08-19 |
| 1912554668 | Denver Recovery Group LLC | Family Medicine | 5330 Manhattan Cir Ste H, Boulder, CO 80303-4240 | 2019-08-19 |
| 1639739097 | Bryan Clifford Handwork | Family Medicine | 3004 Arapahoe Ave, Boulder, CO 80303-1017 | 2019-06-18 |
| 1376949867 | Colorado Professional Recovery Inc. | Family Medicine | 4990 Kipling St, Suite B-5, Wheat Ridge, CO 80033-6762 | 2014-11-10 |
| 1548564545 | Michael Arthur Schwartz | Family Medicine | 2205 Cordillera Way, Edwards, CO 81632-6290 | 2011-01-05 |
| 1528374873 | Yvonne M Nelson Md Pllc | Family Medicine | 4487 W 107th Pl, Westminster, CO 80031-7603 | 2010-08-24 |
| 1437762481 | Julia Catherine Wells | Family Medicine | 1600 Fish Hatchery Rd, Estes Park, CO 80517-9227 | 2020-08-28 |
| 1407476021 | Denver Recovery Group LLC | Family Medicine | 8790 W Colfax Ave Ste 90, Lakewood, CO 80215-4025 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
Please comment or provide details below to improve the information on HAVEN CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.