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NPI Code Detail

MEDICARE: PLANNED PARENTHOOD SOUTHEASTERN PENNSYLVANIA

MEDICARE: PLANNED PARENTHOOD SOUTHEASTERN PENNSYLVANIA
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
1261QA0005XAmbulatory Family Planning Facility
2261QM1300XMulti-Specialty Clinic/Center
3207VG0400XGynecology Physician
4332900000XNon-Pharmacy Dispensing Site
5261QA1903XAmbulatory Surgical Clinic/Center
6208800000XUrology Physician
7261Q00000XClinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25066359OTHERPAAETNA PROVIDER #
30060242000OTHERPAIBC PROVIDER #
4156525OTHERPABCBLUE S PROVIDER #

General Provider Information

NPI Number : 1447301122
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLANNED PARENTHOOD SOUTHEASTERN PENNSYLVANIA
Provider Business Mailing Address
First Line : 1144 LOCUST ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-6734
Country : US
Telephone Number : 215-351-5500
Fax Number : 215-351-5595
Provider Business Practice Location Address
First Line : 1144 LOCUST ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-6734
Country : US
Telephone Number : 215-351-5500
Fax Number : 215-351-5595
Authorized Official
Title or Position : CFO
Name : MRS. VERA BAILEY
Credential :
Telephone Number : 215-351-5536
Provider Enumeration Date : 01/16/2007
Last Update Date : 09/09/2009

Similar Medicare Providers

1346197092 — EVANA DOUGLAS RN
Practice Location Address:
1144 LOCUST ST
PHILADELPHIA, PA
19107-6734
Practice Phone: 215-351-5550
Practice Fax:
1992842371 — MS. LISA MARIE SMITH CRNP
Practice Location Address:
1144 LOCUST ST
PHILADELPHIA, PA
19107-6734
Practice Phone: 215-351-5582
Practice Fax:
1275670630 — JANET LEE WILSON MD
Practice Location Address:
1144 LOCUST ST
PHILADELPHIA, PA
19107-6734
Practice Phone: 215-351-5573
Practice Fax:
1831236207 — PHEBE REBECCA BRANDT CRNP
Practice Location Address:
1144 LOCUST ST
PHILADELPHIA, PA
19107-6734
Practice Phone: 215-351-5560
Practice Fax: 215-351-5568
1346382256 — PLANNED PARENTHOOD SOUTHEASTERN PENNSYLVANIA
Practice Location Address:
1144 LOCUST ST , SURGICAL CENTER
PHILADELPHIA, PA
19107-6734
Practice Phone: 215-351-5500
Practice Fax: 215-351-5595
1164555249 — DR. LEE TRIPP M.D.
Practice Location Address:
1144 LOCUST ST
PHILADELPHIA, PA
19107-6734
Practice Phone: 215-351-5500
Practice Fax: 215-351-5595

Directions to “PLANNED PARENTHOOD SOUTHEASTERN PENNSYLVANIA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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