Provider Demographics
NPI:1447209820
Name:PLANNED PARENTHOOD GREATER MEMPHIS REGION
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD GREATER MEMPHIS REGION
Other - Org Name:PLANNED PARENTHOOD MEMPHIS REGIONAL
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:COFFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-725-3003
Mailing Address - Street 1:2430 POPLAR AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112-3246
Mailing Address - Country:US
Mailing Address - Phone:901-725-1717
Mailing Address - Fax:901-274-1660
Practice Address - Street 1:2430 POPLAR AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-3246
Practice Address - Country:US
Practice Address - Phone:901-725-1717
Practice Address - Fax:901-274-1660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN47261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical