Healthcare Provider Details
I. General information
NPI: 1427066000
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF GREATER OHIO
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2006
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25350 ROCKSIDE ROAD
BEDFORD HEIGHTS OH
44146-7110
US
IV. Provider business mailing address
PO BOX 933428
CLEVELAND OH
44193-0039
US
V. Phone/Fax
- Phone: 800-230-7526
- Fax: 234-402-4086
- Phone: 234-402-4086
- Fax: 234-402-4086
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0005X |
| Taxonomy | Ambulatory Family Planning Facility |
| License Number | |
| License Number State | OH |
VIII. Authorized Official
Name:
ERICA
WILSON
Title or Position: PRESIDENT/CEO
Credential:
Phone: 614-224-2235