Healthcare Provider Details

I. General information

NPI: 1710023510
Provider Name (Legal Business Name): PLANNED PARENTHOOD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3209 N MERIDIAN ST
INDIANAPOLIS IN
46208-4645
US

IV. Provider business mailing address

3209 N MERIDIAN ST
INDIANAPOLIS IN
46208-4645
US

V. Phone/Fax

Practice location:
  • Phone: 317-925-6747
  • Fax: 317-927-3664
Mailing address:
  • Phone: 317-925-6747
  • Fax: 317-927-3664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number28136803A
License Number StateIN

VIII. Authorized Official

Name: MS. CHARLESINE H. FORD
Title or Position: NURSE PRACTITIONER
Credential: RN-NP
Phone: 317-925-6747