1821095779 NPI number — PLANNED PARENTHOOD LEAGUE OF MASSACHUSETTS, INC.

Table of content: (NPI 1821095779)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821095779 NPI number — PLANNED PARENTHOOD LEAGUE OF MASSACHUSETTS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PLANNED PARENTHOOD LEAGUE OF MASSACHUSETTS, INC.
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:
1821095779
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/08/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1055 COMMONWEALTH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02215-1001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-616-1600
Provider Business Mailing Address Fax Number:
617-616-1603

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1055 COMMONWEALTH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02215-1001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-616-1600
Provider Business Practice Location Address Fax Number:
617-616-1603
Provider Enumeration Date:
07/07/2005

Additional Information

Authorized Official

Authorized Official Last Name:
JACKSON
Authorized Official First Name:
FIONA
Authorized Official Middle Name:
Authorized Official Title or Position:
SR. DIRECTOR OF ENTERPRISE OPS
Authorized Official Telephone Number:
510-941-6242

Provider Taxonomy Codes

  • Taxonomy code: 261QA0005X , with the licence number:  440 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332900000X , with the licence number: 2241343 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332900000X , with the licence number: 2241355 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332900000X , with the licence number: 2241367 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332900000X , with the licence number: 2241379 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QA0005X , with the licence number: 0055170 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0006921 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1305743 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1606042 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0225936A01 . This is a "BMC HEALTHNET" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 996152 . This is a "NETWORK HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: M17121 . This is a "BLUE CROSS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 601393 . This is a "HARVRAD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 5038048 . This is a "CIGNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 706078 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1600532 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 538876 . This is a "AETNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1161198 . This is a "FIRST HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0701295 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 23905 . This is a "HEALTH NEW ENGLAND" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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