MEDICARE: PLANNED PARENTHOOD GREAT RIVERS-MISSOURI

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	332900000X	Non-Pharmacy Dispensing Site	2009004523	MO
2	261QF0050X	Non-Surgical Family Planning Clinic/Center	520524208	MO

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205898574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANNED PARENTHOOD GREAT RIVERS-MISSOURI

Provider Business Mailing Address
First Line	:	4251 FOREST PARK AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-2810
Country	:	US
Telephone Number	:	314-531-7526
Fax Number	:	314-531-3190

Provider Business Practice Location Address
First Line	:	4251 FOREST PARK AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-2810
Country	:	US
Telephone Number	:	314-531-7526
Fax Number	:	314-531-3190

Authorized Official
Title or Position	:	VP OF BUSINESS OP
Name	:	KATIE KLEIN
Credential	:
Telephone Number	:	314-531-7526

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	07/31/2025

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Directions to “PLANNED PARENTHOOD GREAT RIVERS-MISSOURI ” Practice Location

Language	Start Address	Practice Location

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