Healthcare Provider Details

I. General information

NPI: 1093975823
Provider Name (Legal Business Name): PLANNED PARENTHOOD KEYSTONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2008
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2185 GALLOWAY RD.
BENSALEM PA
19020-2983
US

IV. Provider business mailing address

PO BOX 1068
BENSALEM PA
19020-5068
US

V. Phone/Fax

Practice location:
  • Phone: 610-481-0481
  • Fax: 610-481-0486
Mailing address:
  • Phone: 610-481-0481
  • Fax: 215-443-5405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number39D0195604
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StatePA

VIII. Authorized Official

Name: ALICIA HAMPTON
Title or Position: DIR OF HEALTH SERVICES & SYSTEMS
Credential:
Phone: 610-709-6074