Provider Demographics
NPI:1891713343
Name:PLANNED PARENTHOOD OF CHESTER COUNTY
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF CHESTER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-692-1770
Mailing Address - Street 1:8 S WAYNE ST
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-2817
Mailing Address - Country:US
Mailing Address - Phone:610-692-1770
Mailing Address - Fax:610-429-1057
Practice Address - Street 1:1041 W BRIDGE ST
Practice Address - Street 2:DOOR D, SUITE 10A
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-4342
Practice Address - Country:US
Practice Address - Phone:610-935-0599
Practice Address - Fax:610-917-0977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035003E261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007280760010Medicaid
PA1615287OtherBLUE CROSS BLUE SHIELD
PA2295683000OtherINDEPENDENCE BLUE CROSS