PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO

Provider Demographics

• NPI: 1649214958
• Name: PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO
• Entity Type: Organization
• Organization Name: PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO
• Other - Org Name: PPGWNI WENATCHEE & MOSES LAKE HEALTH CENTER
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: VP OF FINANCE
• Authorized Official - First Name: KIM
• Authorized Official - Middle Name: A
• Authorized Official - Last Name: NELSON
• Authorized Official - Phone: 866-904-7721
• Mailing Address - Street 1: 1117 TIETON DR
• Mailing Address - City: YAKIMA
• Mailing Address - State: WA
• Mailing Address - Zip Code: 98902-3835
• Mailing Address - Country: US
• Mailing Address - Phone: 866-904-7721
• Mailing Address - Fax: 509-576-8685
• Practice Address - Street 1: 900 FERRY ST
• Practice Address - City: WENATCHEE
• Practice Address - State: WA
• Practice Address - Zip Code: 98801-3405
• Practice Address - Country: US
• Practice Address - Phone: 866-904-7721
• Practice Address - Fax: 509-576-8685
• EIN: <UNAVAIL>
• Is Organization Subpart?: Yes
• Parent Organization LBN: PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO
• Parent Organization TIN: <UNAVAIL>
• Enumeration Date: 2006-06-16
• Last Update Date: 2017-05-11

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine		Group - Multi-Specialty
No	207VG0400X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology	Gynecology	Group - Multi-Specialty
No	261QA0005X	Ambulatory Health Care Facilities	Clinic/Center	Ambulatory Family Planning Facility	Group - Single Specialty
No	261QM1300X	Ambulatory Health Care Facilities	Clinic/Center	Multi-Specialty	Group - Single Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
WA	7532701	Other	AETNA
WA	9602848	Medicaid
WA	8097917	Medicaid
WA	4322ST	Other	ASURIS NW HEALTH
WA	P03729	Medicare UPIN
WA	9614819	Medicaid
WA	9622663	Medicaid
WA	7103203	Medicaid
WA	9647454	Medicaid
WA	7922008	Medicaid
WA	7025034	Medicaid