Provider Demographics
NPI:1629025101
Name:PLANNED PARENTHOOD OF THE HEARTLAND, INC
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF THE HEARTLAND, INC
Other - Org Name:FORMERLY: PLANNED PARENTHOOD OF GREATER IOWA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:JUNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-235-0401
Mailing Address - Street 1:1171 7TH ST.
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-2505
Mailing Address - Country:US
Mailing Address - Phone:515-280-7004
Mailing Address - Fax:515-280-9525
Practice Address - Street 1:1000 E. ARMY POST RD
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50315-5939
Practice Address - Country:US
Practice Address - Phone:515-953-7560
Practice Address - Fax:515-953-7549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA03119207Q00000X
IA24217207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA220459Medicaid
IA4029561Medicaid
IAG60175Medicare UPIN
IA21062Medicare PIN
IAI14174Medicare ID - Type Unspecified
IA4029561Medicaid
IA05757Medicare PIN