Provider Demographics
NPI:1851440945
Name:PLANNED PARENTHOOD OF THE ROCKY MOUNTAINS, INC
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF THE ROCKY MOUNTAINS, INC
Other - Org Name:PLANNED PARENTHOOD OF THE ROCKY MOUNTAINS, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-944-2021
Mailing Address - Street 1:7155 E 38TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-1630
Mailing Address - Country:US
Mailing Address - Phone:303-321-7526
Mailing Address - Fax:303-813-7692
Practice Address - Street 1:4630 EUBANK BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-2552
Practice Address - Country:US
Practice Address - Phone:505-265-9511
Practice Address - Fax:505-268-4350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2024-01-12
Deactivation Date:2019-11-20
Deactivation Code:
Reactivation Date:2020-01-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty