Provider Demographics
NPI:1275840134
Name:PLANNED PARENTHOOD OF MICHIGAN
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF MICHIGAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-926-4800
Mailing Address - Street 1:950 VICTORS WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-5217
Mailing Address - Country:US
Mailing Address - Phone:734-926-4800
Mailing Address - Fax:734-926-4800
Practice Address - Street 1:950 VICTORS WAY STE 100
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-5217
Practice Address - Country:US
Practice Address - Phone:734-926-4800
Practice Address - Fax:734-926-4800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-13
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251K00000X
MI01011970251K00000X, 261QA0005X, 363LW0102X
261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning FacilityGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or Welfare
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0H16343OtherBLUE CROSS BLUE SHIELD OF MICHIGAN