1366525370 NPI number — PLANNED PARENTHOOD OF MICHIGAN

Table of content: (NPI 1366525370)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366525370 NPI number — PLANNED PARENTHOOD OF MICHIGAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PLANNED PARENTHOOD OF MICHIGAN
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:
1366525370
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/21/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
950 VICTORS WAY
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
ANN ARBOR
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48108
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
734-926-4800
Provider Business Mailing Address Fax Number:
734-973-0595

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3100 PROFESSIONAL DR.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANN ARBOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-973-0710
Provider Business Practice Location Address Fax Number:
734-973-2428
Provider Enumeration Date:
10/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
COVIN
Authorized Official First Name:
KIMBERLY
Authorized Official Middle Name:
L
Authorized Official Title or Position:
DIRECTOR OF REVENUE CYCLE
Authorized Official Telephone Number:
734-926-4821

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261Q00000X , registered in the state of MI ; 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: "N" .
  • Taxonomy code: 261QF0050X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QA0005X , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 080H163430 . This is a "BCBS" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 5085 . This is a "CAPE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 1000349 . This is a "MCLAREN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 234284761 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 237005662 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9309000 . This is a "PHP MID MICHIGAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 103223073 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 234172228 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 234284743 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 234459330 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 234284752 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 234284770 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 234897243 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 003362 . This is a "AA MIDWEST" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 003363 . This is a "YP MIDWEST" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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