Healthcare Provider Details

I. General information

NPI: 1225231384
Provider Name (Legal Business Name): PLANNED PARENHOOD OF THE ROCKY MOUNTAIN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2007
Last Update Date: 07/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 S ALTON CT
DENVER CO
80247-2321
US

IV. Provider business mailing address

1221 S ALTON CT
DENVER CO
80247-2321
US

V. Phone/Fax

Practice location:
  • Phone: 303-750-7128
  • Fax: 303-750-7125
Mailing address:
  • Phone: 303-750-7128
  • Fax: 303-750-7125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number69860
License Number StateCO

VIII. Authorized Official

Name: MS. JODY LYNN JAFFE
Title or Position: NURSE PRACTITIONER
Credential: CNM
Phone: 303-750-7128