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NPI Code Detail

MEDICARE: PLANNED PARENTHOOD HEALTH SYSTEMS INC

MEDICARE: PLANNED PARENTHOOD HEALTH SYSTEMS INC
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
13336I0012XInstitutional Pharmacy
23336C0002XClinic Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13458937OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1497049555
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLANNED PARENTHOOD HEALTH SYSTEMS INC
Provider Business Mailing Address
First Line : 100 S BOYLAN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27603-1802
Country : US
Telephone Number : 919-833-7534
Fax Number : 919-833-0730
Provider Business Practice Location Address
First Line : 100 S BOYLAN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27603-1802
Country : US
Telephone Number : 919-833-7534
Fax Number : 919-833-0730
Authorized Official
Title or Position : VP OF FINANCE
Name : STEVEN MAYNE
Credential :
Telephone Number : 919-833-7534
Provider Enumeration Date : 06/07/2011
Last Update Date : 06/07/2011

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Directions to “PLANNED PARENTHOOD HEALTH SYSTEMS INC ” Practice Location

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