MEDICARE: PLANNED PARENTHOOD OF GREATER OHIO

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	261QA0005X	Ambulatory Family Planning Facility

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	:	1205965753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANNED PARENTHOOD OF GREATER OHIO

Provider Business Mailing Address
First Line	:	PO BOX 933428
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44193-7111
Country	:	US
Telephone Number	:	234-402-4086
Fax Number	:	234-402-4086

Provider Business Practice Location Address
First Line	:	1511 W BROAD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43222-1000
Country	:	US
Telephone Number	:	800-230-7526
Fax Number	:	234-402-4086

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	ERICA WILSON-DOMER
Credential	:
Telephone Number	:	614-224-2235

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	11/25/2024

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Directions to “PLANNED PARENTHOOD OF GREATER OHIO ” Practice Location

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