Provider Demographics
NPI:1235214362
Name:PLANNED PARENTHOOD OF WEST AND NORTHERN MI
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF WEST AND NORTHERN MI
Other - Org Name:KINDEL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:VP OF MEDICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SUZY
Authorized Official - Middle Name:
Authorized Official - Last Name:REITER
Authorized Official - Suffix:
Authorized Official - Credentials:RNC, NP
Authorized Official - Phone:616-774-7005
Mailing Address - Street 1:233 FULTON ST E
Mailing Address - Street 2:SUITE 226
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-3200
Mailing Address - Country:US
Mailing Address - Phone:616-451-4988
Mailing Address - Fax:616-451-0120
Practice Address - Street 1:233 FULTON ST E
Practice Address - Street 2:SUITE 226
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-3200
Practice Address - Country:US
Practice Address - Phone:616-451-4988
Practice Address - Fax:616-451-0120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility