# HAVENS URGENT CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770881229
- **Authorized official:** MR. BERNARD K OPPONG DO (OWNER/PHYSICIAN)
- **Authorized official phone:** (614) 736-5152

## Contact information

- **Practice address:** 1582 WAGGONER RD, BLACKLICK, OH 43004
- **Practice address phone:** (614) 864-1313
- **Practice address fax:** (614) 864-1315
- **Mailing address:** 1582 WAGGONER RD, BLACKLICK, OH 43004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/08/2011
- **Last updated:** 06/04/2013
