Healthcare Provider Details

I. General information

NPI: 1902053168
Provider Name (Legal Business Name): PLANNED PARENTHOOD HEALTH SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 08/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2207 PETERS CREEK RD NW
ROANOKE VA
24017-1618
US

IV. Provider business mailing address

2207 PETERS CREEK RD NW
ROANOKE VA
24017-1618
US

V. Phone/Fax

Practice location:
  • Phone: 540-562-3457
  • Fax: 540-562-5124
Mailing address:
  • Phone: 540-562-3457
  • Fax: 540-562-5124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number0024167950
License Number StateVA

VIII. Authorized Official

Name: NOELANI ROSSI
Title or Position: CENTER MANAGER
Credential:
Phone: 540-566-3457