Healthcare Provider Details

I. General information

NPI: 1922172907
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF THE HEARTLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3105 N 93RD ST
OMAHA NE
68134-4717
US

IV. Provider business mailing address

LOCKBOX 446153 PO BOX 64071
ST. PAUL MN
55164-0071
US

V. Phone/Fax

Practice location:
  • Phone: 402-496-6356
  • Fax: 402-496-0489
Mailing address:
  • Phone: 866-290-4325
  • Fax: 515-280-9525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number110063
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

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