Provider Demographics
NPI:1942734835
Name:PLANNED PARENTHOOD OF THE ROCKY MOUNTAINS
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF THE ROCKY MOUNTAINS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLYOAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-813-7609
Mailing Address - Street 1:1400 S WADSWORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-5441
Mailing Address - Country:US
Mailing Address - Phone:303-980-5399
Mailing Address - Fax:
Practice Address - Street 1:1400 S WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-5441
Practice Address - Country:US
Practice Address - Phone:303-980-5399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-18
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0992799-NP261Q00000X
CORN.1642079261Q00000X
CORXN.0102405-NP261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center