HADEN FAMILY MEDICINE PC NPI 1275373938

NPI Information

  • NPI: 1275373938
  • Provider Name: HADEN FAMILY MEDICINE PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: HADEN FAMILY MEDICINE PC
  • CLIA Number: 16D2307935
  • Address: 1111 N HAYNES AVE
    CENTERVILLE, IA
    ZIP 52544
  • Phone: (515) 408-5105

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NPI Details

HADEN FAMILY MEDICINE PC is a family medicine in Centerville, IA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HADEN FAMILY MEDICINE PC NPI is 1275373938. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Haden Family Medicine Pc.

The provider's business location address is:

1111 N HAYNES AVE
CENTERVILLE, IA
ZIP 52544-133
Phone: (515) 408-5105

The provider's authorized official is Jennifer Davis Haden .
The authorized official title is Family Medicine Physician and has the following contact phone number (641) 552-1484.

The CLIA number assigned to this NPI record is 16D2307935 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2024 and was last updated on 8/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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