Havens Medical Group Llc

LBN: Havens Medical Group Llc
Havens Medical Group Llc is an health care organization with primary practice located at 207 Sparks Avenue Suite 200, Jeffersonville IN 47130-3739. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Havens Medical Group Llc can be contacted via phone (812) 283-4441, or through Havens, Stephen Reeves via phone (812) 283-4441.

Contact Information

Primary practice address
207 Sparks Avenue Suite 200 Jeffersonville IN 47130-3739
Phone: (812) 283-4441
Fax: (812) 288-2605
Website:
Map and Directions
Authorized official contact:
Name: Havens, Stephen Reeves Doctor of Medicine (MD)
Phone: (812) 283-4441

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1316031511
LBN Legal business name Havens Medical Group Llc
DBA Doing business as
Authorized official Havens, Stephen Reeves Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Dec 15th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316031511 NPPES
Indiana MEDICAID 100074620A

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