NPI 1043977176

Haven Direct Health Systems LLC

Organisation Clinic/Center Riverton, WY

Practice location

Address: 716 College View Dr STE a, Riverton, WY 82501-2282
Phone: (307) 856-1189
Mailing address: PO Box 6066, Riverton, WY 82501-0399

Authorised official

Name: Jadell Hovander
Title: Managing Member
Phone: (307) 856-1189

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Wyoming →

Registry record

NPI: 1043977176
Entity type: Organization
NPI issued: 23 Nov 2021
Record last updated: 23 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.