Healthcare Provider Details

I. General information

NPI: 1316022429
Provider Name (Legal Business Name): PLANNED PARENTHOOD CENTERS OF WEST MI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 E ADAMS ST
IONIA MI
48846-1672
US

IV. Provider business mailing address

175 E ADAMS ST
IONIA MI
48846-1672
US

V. Phone/Fax

Practice location:
  • Phone: 616-527-3340
  • Fax: 616-527-6441
Mailing address:
  • Phone: 616-527-3340
  • Fax: 616-527-6441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State

VIII. Authorized Official

Name: SUZY REITER
Title or Position: VP OF MEDICAL SERVICES
Credential: RNC, NP
Phone: 616-774-7005