MEDICARE: PLANNED PARENTHOOD MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332900000X	Non-Pharmacy Dispensing Site
2	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396724738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANNED PARENTHOOD MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA

Provider Business Mailing Address
First Line	:	PO BOX 64393
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55164-0393
Country	:	US
Telephone Number	:	651-696-5676
Fax Number	:

Provider Business Practice Location Address
First Line	:	7532 BROOKLYN BLVD
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55443-3101
Country	:	US
Telephone Number	:	763-560-3050
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, REVENUE MANAGEMENT
Name	:	NICOLE C MARTINSON
Credential	:
Telephone Number	:	651-696-5676

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	08/27/2025

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Directions to “PLANNED PARENTHOOD MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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