MEDICARE: FAMILY PLANNING ASSOCIATION OF NORTHEAST OHIO, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0050X	Non-Surgical Family Planning Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033100888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY PLANNING ASSOCIATION OF NORTHEAST OHIO, INC.

Provider Business Mailing Address
First Line	:	54 S STATE ST
Second Line	:	SUITE 201
City	:	PAINESVILLE
State	:	OH
Zip	:	44077-3445
Country	:	US
Telephone Number	:	440-352-0608
Fax Number	:	440-352-0640

Provider Business Practice Location Address
First Line	:	54 S STATE ST
Second Line	:	SUITE 203
City	:	PAINESVILLE
State	:	OH
Zip	:	44077-3445
Country	:	US
Telephone Number	:	440-352-0608
Fax Number	:	440-352-0640

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. MARY WYNNE-PEASPANEN
Credential	:	M.ED., CHES
Telephone Number	:	440-352-0608

Provider Enumeration Date	:	11/01/2005
Last Update Date	:	04/03/2008

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