1992083190 NPI number — PLANNED PARENTHOOD OF THE HEARTLAND

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992083190 NPI number — PLANNED PARENTHOOD OF THE HEARTLAND

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PLANNED PARENTHOOD OF THE HEARTLAND
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:
1992083190
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/27/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1171 7TH ST
Provider Second Line Business Mailing Address:
PLANNED PARENTHOOD OF THE HEARTLAND
Provider Business Mailing Address City Name:
DES MOINES
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50314-4557
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
877-811-7526
Provider Business Mailing Address Fax Number:
515-280-9525

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
311 N 4TH AVE
Provider Second Line Business Practice Location Address:
PLANNED PARENTHOOD OF THE HEARTLAND WASHINGTON CLINIC
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
53253-2247
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-653-3525
Provider Business Practice Location Address Fax Number:
319-653-3745
Provider Enumeration Date:
07/22/2011

Additional Information

Authorized Official

Authorized Official Last Name:
DICKEY
Authorized Official First Name:
PENNY
Authorized Official Middle Name:
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
515-235-0450

Provider Taxonomy Codes

  • Taxonomy code: 363LW0102X , with the licence number:  33019 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: GROUP0057570 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".




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