MEDICARE: PLANNED PARENTHOOD MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA

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
2	174400000X	Specialist

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	:	1396724738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANNED PARENTHOOD MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA

Provider Business Mailing Address
First Line	:	PO BOX 64393
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55164-0393
Country	:	US
Telephone Number	:	651-696-5676
Fax Number	:

Provider Business Practice Location Address
First Line	:	7532 BROOKLYN BLVD
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55443-3101
Country	:	US
Telephone Number	:	763-560-3050
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, REVENUE MANAGEMENT
Name	:	NICOLE C MARTINSON
Credential	:
Telephone Number	:	651-696-5676

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	08/27/2025

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Directions to “PLANNED PARENTHOOD MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA ” Practice Location

Language	Start Address	Practice Location

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