1902053168 NPI number — PLANNED PARENTHOOD HEALTH SYSTEMS

Table of content: (NPI 1902053168)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902053168 NPI number — PLANNED PARENTHOOD HEALTH SYSTEMS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PLANNED PARENTHOOD HEALTH SYSTEMS
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:
Provider Other Organization Name Type Code:
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:
1902053168
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/25/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2207 PETERS CREEK RD NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROANOKE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24017-1618
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-562-3457
Provider Business Mailing Address Fax Number:
540-562-5124

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2207 PETERS CREEK RD NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROANOKE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24017-1618
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-562-3457
Provider Business Practice Location Address Fax Number:
540-562-5124
Provider Enumeration Date:
08/19/2008

Additional Information

Authorized Official

Authorized Official Last Name:
ROSSI
Authorized Official First Name:
NOELANI
Authorized Official Middle Name:
Authorized Official Title or Position:
CENTER MANAGER
Authorized Official Telephone Number:
540-566-3457

Provider Taxonomy Codes

  • Taxonomy code: 261QF0050X , with the licence number:  0024167950 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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