1356596845 NPI number — PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTHERN IDAHO

Table of content: (NPI 1356596845)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356596845 NPI number — PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTHERN IDAHO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTHERN IDAHO
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PPGWNI
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356596845
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3901 W COURT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PASCO
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99301-2776
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-904-7721
Provider Business Mailing Address Fax Number:
509-545-8932

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
828 S 1ST AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WALLA WALLA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99362-4003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-904-7721
Provider Business Practice Location Address Fax Number:
509-545-8932
Provider Enumeration Date:
11/25/2008

Additional Information

Authorized Official

Authorized Official Last Name:
EASTLUND
Authorized Official First Name:
KARL
Authorized Official Middle Name:
A
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
866-904-7721

Provider Taxonomy Codes

  • Taxonomy code: 207VG0400X , with the licence number:  14134 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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