Provider Demographics
NPI:1518126002
Name:PLANNED PARENTHOOD OF EAST CENTRAL MICHIGAN INC
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF EAST CENTRAL MICHIGAN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:810-238-3631
Mailing Address - Street 1:G3371 BEECHER RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3621
Mailing Address - Country:US
Mailing Address - Phone:810-238-3631
Mailing Address - Fax:810-234-5956
Practice Address - Street 1:G3371 BEECHER RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3621
Practice Address - Country:US
Practice Address - Phone:810-238-3631
Practice Address - Fax:810-234-5956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704169927251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5008753530OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI5008753530OtherBLUE CROSS BLUE SHIELD OF MICHIGAN