Provider Demographics
NPI:1669443578
Name:FAMILY PLANNING SERVICES OF MERCER COUNTY
Entity Type:Organization
Organization Name:FAMILY PLANNING SERVICES OF MERCER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BURSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-981-1671
Mailing Address - Street 1:87 STAMBAUGH AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-2775
Mailing Address - Country:US
Mailing Address - Phone:724-981-1671
Mailing Address - Fax:724-981-9444
Practice Address - Street 1:87 STAMBAUGH AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-2775
Practice Address - Country:US
Practice Address - Phone:724-981-1671
Practice Address - Fax:724-981-9444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA0005X
PAMD037587E261QF0050X
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
MD037587EOtherMEDICAL LICENSE
PA1007754500004Medicaid
PA1007754500003Medicaid