Provider Demographics
NPI:1336238120
Name:PLANNED PARENTHOOD OF WESTERN PENNSYLVANIA, INC
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF WESTERN PENNSYLVANIA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SYDNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ETHEREDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-258-9530
Mailing Address - Street 1:933 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-3701
Mailing Address - Country:US
Mailing Address - Phone:412-434-8957
Mailing Address - Fax:412-434-8974
Practice Address - Street 1:933 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-3783
Practice Address - Country:US
Practice Address - Phone:412-434-8957
Practice Address - Fax:412-434-8974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100732936001Medicaid
PA1007329360001Medicaid
PA1007329360013Medicaid
PA1007329360015Medicaid
PA1007329360010Medicaid
PA1007329360014Medicaid
PA1007329360008Medicaid