Healthcare Provider Details

I. General information

NPI: 1881743631
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF THE ROCKY MOUNTAINS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 06/15/2023
Certification Date: 06/15/2023
Deactivation Date: 11/20/2019
Reactivation Date: 12/17/2019

III. Provider practice location address

7155 E 38TH AVE
DENVER CO
80207-1630
US

IV. Provider business mailing address

7155 E 38TH AVE
DENVER CO
80207-1630
US

V. Phone/Fax

Practice location:
  • Phone: 303-321-7526
  • Fax: 303-813-7682
Mailing address:
  • Phone: 303-321-7526
  • Fax: 303-813-7692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State

VIII. Authorized Official

Name: MARISSA HERRERA
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 505-944-2021