Healthcare Provider Details

I. General information

NPI: 1912865460
Provider Name (Legal Business Name): PLANNED PARENTHOOD MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2026
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

671 VANDALIA ST
SAINT PAUL MN
55114-1312
US

IV. Provider business mailing address

PLANNED PARENTHOOD - 446137 PO BOX 64393
ST PAUL MN
55164-0393
US

V. Phone/Fax

Practice location:
  • Phone: 800-230-7526
  • Fax:
Mailing address:
  • Phone: 651-696-5676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: NICOLE C MARTINSON
Title or Position: DIRECTOR, REVENUE MANAGEMENT
Credential:
Phone: 651-696-5676