Provider Demographics
NPI:1275882086
Name:PLANNED PARENTHOOD OF ARKANSAS AND EASTERN OKLAHOMA, INC
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF ARKANSAS AND EASTERN OKLAHOMA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH SERVICES OPS
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-587-4621
Mailing Address - Street 1:4401 W 109TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1303
Mailing Address - Country:US
Mailing Address - Phone:918-858-3121
Mailing Address - Fax:501-660-7876
Practice Address - Street 1:1222 W POPLAR ST
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-4246
Practice Address - Country:US
Practice Address - Phone:479-337-5298
Practice Address - Fax:793-475-4944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-07
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty