| Havens Medical Group Llc | |
|
207 Sparks Avenue Suite 200 Jeffersonville IN 47130-3739 | |
| (812) 283-4441 | |
| (812) 288-2605 |
| Full Name | Havens Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 207 Sparks Avenue, Jeffersonville, Indiana |
| Authorized Official Name and Position | Stephen Reeves Havens (PARTNER PHYSICIAN) |
| Authorized Official Contact | 8122834441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Havens Medical Group Llc 207 Sparks Avenue Suite 200 Jeffersonville IN 47130-3739 Ph: (812) 283-4441 | Havens Medical Group Llc 207 Sparks Avenue Suite 200 Jeffersonville IN 47130-3739 Ph: (812) 283-4441 |
| NPI Number | 1316031511 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 12/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316031511 | NPI | - | NPPES |
| 100074620A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
News Archive
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