Provider Demographics
NPI:1538298377
Name:PLANNED PARENTHOOD SPRINGFIELD AREA
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD SPRINGFIELD AREA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATIENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANI
Authorized Official - Middle Name:HUSTON
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:BS APN CNP
Authorized Official - Phone:217-544-8790
Mailing Address - Street 1:1000 E WASHINGTON
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62703
Mailing Address - Country:US
Mailing Address - Phone:217-544-3295
Mailing Address - Fax:217-544-2746
Practice Address - Street 1:1000 E WASHINGTON
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62703
Practice Address - Country:US
Practice Address - Phone:217-544-3295
Practice Address - Fax:217-544-2746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL08425591OtherBCBS
IL=========001Medicaid