Provider Demographics
NPI:1740381227
Name:PLANNED PARENTHOOD OF SUMMIT, PORTAGE & MEDINA COUNTIES
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF SUMMIT, PORTAGE & MEDINA COUNTIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATIENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-535-2674
Mailing Address - Street 1:903 E AURORA RD
Mailing Address - Street 2:
Mailing Address - City:MACEDONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44056-1905
Mailing Address - Country:US
Mailing Address - Phone:330-468-5887
Mailing Address - Fax:
Practice Address - Street 1:903 E AURORA RD
Practice Address - Street 2:
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056-1905
Practice Address - Country:US
Practice Address - Phone:330-468-5887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35032759261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2642573Medicaid