Healthcare Provider Details

I. General information

NPI: 1487749990
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF ARKANSAS AND EASTERN OKLAHOMA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/23/2021
Certification Date: 09/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 ALDERSGATE RD
LITTLE ROCK AR
72205-6611
US

IV. Provider business mailing address

4401 W 109TH ST STE 200
OVERLAND PARK KS
66211-1303
US

V. Phone/Fax

Practice location:
  • Phone: 501-801-1616
  • Fax: 501-660-7876
Mailing address:
  • Phone: 501-801-1616
  • Fax: 501-660-7876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA PARKS
Title or Position: HEALTH SERVICES COORDINATOR
Credential:
Phone: 918-587-4621