Healthcare Provider Details

I. General information

NPI: 1295715001
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF THE HEARTLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 N 8TH ST PLANNED PARENTHOOD OF THE HEARTLAND BURLINGTON CLINIC
BURLINGTON IA
52601-5037
US

IV. Provider business mailing address

671 VANDALIA ST ATTN: PPH
ST PAUL MN
55114-1312
US

V. Phone/Fax

Practice location:
  • Phone: 319-753-2281
  • Fax: 319-753-0181
Mailing address:
  • Phone: 877-811-7526
  • Fax: 515-280-9525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number33019
License Number StateIA

VIII. Authorized Official

Name: RANDY DRAGER
Title or Position: CFO
Credential:
Phone: 651-698-2406