Provider Demographics
NPI:1710023510
Name:PLANNED PARENTHOOD
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLESINE
Authorized Official - Middle Name:H
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:RN-NP
Authorized Official - Phone:317-925-6747
Mailing Address - Street 1:3209 N MERIDIAN ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46208-4645
Mailing Address - Country:US
Mailing Address - Phone:317-925-6747
Mailing Address - Fax:317-927-3664
Practice Address - Street 1:3209 N MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-4645
Practice Address - Country:US
Practice Address - Phone:317-925-6747
Practice Address - Fax:317-927-3664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28136803A251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare