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
2	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316015449
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	:	44193-0039
Country	:	US
Telephone Number	:	234-402-4086
Fax Number	:	234-402-4086

Provider Business Practice Location Address
First Line	:	2663 CLEVELAND AVENUE NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44709-3393
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	:	11/30/2006
Last Update Date	:	11/25/2024

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Directions to “PLANNED PARENTHOOD OF GREATER OHIO ” Practice Location

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