MEDICARE: PLANNED PARENTHOOD OF INDIANA AND KENTUCKY, INC.

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	261QF0050X	Non-Surgical Family Planning Clinic/Center		IN

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821469495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANNED PARENTHOOD OF INDIANA AND KENTUCKY, INC.

Provider Business Mailing Address
First Line	:	200 S MERIDIAN ST
Second Line	:	SUITE 400
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46225-1055
Country	:	US
Telephone Number	:	317-637-4343
Fax Number	:	317-637-4344

Provider Business Practice Location Address
First Line	:	200 S MERIDIAN ST
Second Line	:	SUITE 400
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46225-1055
Country	:	US
Telephone Number	:	317-637-4343
Fax Number	:	317-637-4344

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	KAREN VANDEPUTTE
Credential	:
Telephone Number	:	317-637-4185

Provider Enumeration Date	:	10/08/2015
Last Update Date	:	10/08/2015

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Directions to “PLANNED PARENTHOOD OF INDIANA AND KENTUCKY, INC. ” Practice Location

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