1265981435 NPI number — PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO

Table of content: (NPI 1265981435)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265981435 NPI number — PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH 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:
Provider Other Organization Name Type Code:
6
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:
1265981435
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/08/2025
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:
607 RIVERA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOSES LAKE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98837-1815
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:
509-248-3644
Provider Enumeration Date:
09/28/2016

Additional Information

Authorized Official

Authorized Official Last Name:
NELSON
Authorized Official First Name:
KIM
Authorized Official Middle Name:
Authorized Official Title or Position:
FINANCE DIRECTOR
Authorized Official Telephone Number:
866-904-7721

Provider Taxonomy Codes

  • Taxonomy code: 261QA0005X , with the licence number:  MD00049225 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QA0005X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2049848 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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