Provider Demographics
NPI:1548388622
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 SERVICED
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 1:17 NOXON ST
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-4101
Mailing Address - Country:US
Mailing Address - Phone:845-471-1540
Mailing Address - Fax:845-471-1644
Practice Address - Street 1:7 COATES DR
Practice Address - Street 2:SUITE 4
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-6748
Practice Address - Country:US
Practice Address - Phone:845-294-8831
Practice Address - Fax:845-294-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
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