Healthcare Provider Details

I. General information

NPI: 1750486171
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF GREATER OHIO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 EAST MAIN STREET 2ND FLOOR
KENT OH
44240-1407
US

IV. Provider business mailing address

PO BOX 933428
CLEVELAND OH
44193-0039
US

V. Phone/Fax

Practice location:
  • Phone: 800-230-7526
  • Fax: 234-402-4086
Mailing address:
  • Phone: 234-402-4086
  • Fax: 234-402-4086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number35032759
License Number StateOH

VIII. Authorized Official

Name: ERICA WILSON-DOMER
Title or Position: PRESIDENT/CEO
Credential:
Phone: 614-224-2235