Provider Demographics
NPI:1891899902
Name:PLANNED PARENTHOOD OF CENTRAL OKLAHOMA
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF CENTRAL OKLAHOMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:S
Authorized Official - Last Name:FREAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-528-0221
Mailing Address - Street 1:619 NW 23RD STREET
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103
Mailing Address - Country:US
Mailing Address - Phone:405-528-0221
Mailing Address - Fax:405-528-1517
Practice Address - Street 1:619 NW 23RD STREET
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103
Practice Address - Country:US
Practice Address - Phone:405-528-2157
Practice Address - Fax:405-524-7427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK442363917004OtherBCBS OF OK