1518147297 NPI number — PLANNED PARENTHOOD OF THE HEARTLAND

Table of content: (NPI 1518147297)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518147297 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:
1518147297
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/15/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
671 VANDALIA ST
Provider Second Line Business Mailing Address:
ATTN: PPH
Provider Business Mailing Address City Name:
ST. PAUL
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55114-1312
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-290-4325
Provider Business Mailing Address Fax Number:
515-280-9525

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
704 N ANKENY BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANKENY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50023-1726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-290-4325
Provider Business Practice Location Address Fax Number:
515-280-9525
Provider Enumeration Date:
11/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DRAGER
Authorized Official First Name:
RANDY
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
651-698-2406

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , 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: 0057570 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: I0623 . This is a "MEDICARE ID- TYPE UNSPEC." identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".




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