Haven Health Care Medical Clinic, Inc in Advance - Rural Health

Haven Health Care Medical Clinic, Inc - NPI 1336278365

Haven Health Care Medical Clinic, Inc is a Rural Health in Advance, Missouri. Haven Health Care Medical Clinic, Inc practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Haven Health Care Medical Clinic, Inc is 1336278365. The last update date is 2012-08-10.

Haven Health Care Medical Clinic, Inc's current location address is 502 W Sturdivant St, Advance, Missouri. You can contact this provider via phone number 5737229191 and fax number 5737229393. The mailing address for Haven Health Care Medical Clinic, Inc is 502 W Sturdivant St, Advance, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Haven Health Care Medical Clinic, Inc
Address 502 W Sturdivant St, Advance, Missouri
Phone Number 5737229191
Fax Number 5737229393
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Crawford C Nova
Telephone Number 5737229191

NPI Number Detail

NPI Number 1336278365
Provider Enumeration Date 2007-03-05
Last Updated Date 2012-08-10

Provider Mailing Address Detail

Address 502 W Sturdivant St
City Advance
State Missouri (MO)
Post Code 637307261
Phone Number 5737229191
Fax Number 5737229393

Provider's Primary Taxonomy Detail

Speciality Rural Health
Taxonomy 261Qr1300X
Licence No 268934
Definition:
Provides primary care and preventive health services in rural medically underserved areas.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
597241306 MO --

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FAQs about Haven Health Care Medical Clinic, Inc

What is the Haven Health Care Medical Clinic, Inc's 1336278365?

The Haven Health Care Medical Clinic, Inc's NPI (National Provider Identifier) Number is 1336278365. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Haven Health Care Medical Clinic, Inc's facilities are geographically located?

The facilities of Haven Health Care Medical Clinic, Inc are physically situated at the following location: 502 W Sturdivant St, Advance, MO, 637307261.

What is Haven Health Care Medical Clinic, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Haven Health Care Medical Clinic, Inc is Rural Health, and the taxonomy code that categorizes this field of expertise is 261Qr1300X.

When did Haven Health Care Medical Clinic, Inc receive its 1336278365 assignment?

The Haven Health Care Medical Clinic, Inc was assigned its 1336278365 on 2007-03-05, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Haven Health Care Medical Clinic, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Haven Health Care Medical Clinic, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-08-10.

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