Provider Demographics
NPI:1497064364
Name:INTERMOUNTAIN PLANNED PARENTHOOD
Entity Type:Organization
Organization Name:INTERMOUNTAIN PLANNED PARENTHOOD
Other - Org Name:PLANNED PARENTHOOD OF MONTANA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DANAHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-860-6564
Mailing Address - Street 1:2525 4TH AVE N STE 201
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-1312
Mailing Address - Country:US
Mailing Address - Phone:406-869-5000
Mailing Address - Fax:406-254-9330
Practice Address - Street 1:2525 4TH AVE N STE 201
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-1312
Practice Address - Country:US
Practice Address - Phone:406-869-5000
Practice Address - Fax:406-254-9330
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PPFA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT34812261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility