1679614838 NPI number — PLANNED PARENTHOOD GREAT PLAINS

Table of content: (NPI 1679614838)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679614838 NPI number — PLANNED PARENTHOOD GREAT PLAINS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PLANNED PARENTHOOD GREAT PLAINS
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:
1679614838
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/06/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4401 W 109TH ST
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
OVERLAND PARK
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66211-1303
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-312-5100
Provider Business Mailing Address Fax Number:
913-312-3171

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1001 EMANUEL CLEAVER II BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64110-1687
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-756-2277
Provider Business Practice Location Address Fax Number:
816-756-0611
Provider Enumeration Date:
02/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LIM
Authorized Official First Name:
SU
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
913-312-5100

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LW0102X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 523566131 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100368460A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 427865621 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 523566156 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 523566107 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 06215014 . This is a "BCBS OF KC GROUP ID #" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 200329770A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100250590B , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200302840A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 426835401 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 523566123 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100281810C , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 523566115 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 09841038 . This is a "BCBS KC INDIVIDUAL #" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 100216210A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110035 . This is a "BCBS OF KS GROUP #" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 423542133 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 528534407 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 528534506 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




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