MEDICARE: PLANNED PARENHOOD OF THE ROCKY MOUNTAIN

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	69860	CO

General Provider Information

NPI Number	:	1225231384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANNED PARENHOOD OF THE ROCKY MOUNTAIN

Provider Business Mailing Address
First Line	:	1221 S ALTON CT
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80247-2321
Country	:	US
Telephone Number	:	303-750-7128
Fax Number	:	303-750-7125

Provider Business Practice Location Address
First Line	:	1221 S ALTON CT
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80247-2321
Country	:	US
Telephone Number	:	303-750-7128
Fax Number	:	303-750-7125

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	MS. JODY LYNN JAFFE
Credential	:	CNM
Telephone Number	:	303-750-7128

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	07/20/2007

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Directions to “PLANNED PARENHOOD OF THE ROCKY MOUNTAIN ” Practice Location

Language	Start Address	Practice Location

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