Provider Demographics
NPI:1356463111
Name:PLANNED PARENTHOOD OF THE MID-HUDSON VALLEY
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF THE MID-HUDSON VALLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF PATIENT SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:KYRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:845-562-5748
Mailing Address - Street 1:178 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-4165
Mailing Address - Country:US
Mailing Address - Phone:845-471-1530
Mailing Address - Fax:845-471-1519
Practice Address - Street 1:40 GROVE ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-4873
Practice Address - Country:US
Practice Address - Phone:845-343-4432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1302207R261QA0005X, 261QF0050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
Not Answered261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00245258Medicaid