Provider Demographics
NPI:1699814103
Name:PLANNED PARENTHOOD KEYSTONE
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD KEYSTONE
Other - Org Name:YORK MEDICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIR OF HEALTH SERVICES & SYSTEMS
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-709-6074
Mailing Address - Street 1:610 LOUIS DR STE 300
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2828
Mailing Address - Country:US
Mailing Address - Phone:610-481-0481
Mailing Address - Fax:215-443-5405
Practice Address - Street 1:728 S BEAVER ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17401-2209
Practice Address - Country:US
Practice Address - Phone:717-845-9681
Practice Address - Fax:717-843-2698
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLANNED PARENTHOOD KEYSTONE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-05
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA261Q00000X, 261QA0005X, 261QF0050X, 261Q00000X, 261QF0050X
261QF0050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning FacilityGroup - Single Specialty
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000073270037Medicaid