MEDICARE: PLANNED PARENTHOOD

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	251K00000X	Public Health or Welfare Agency	28136803A	IN

General Provider Information

NPI Number	:	1710023510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANNED PARENTHOOD

Provider Business Mailing Address
First Line	:	3209 N MERIDIAN ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-4645
Country	:	US
Telephone Number	:	317-925-6747
Fax Number	:	317-927-3664

Provider Business Practice Location Address
First Line	:	3209 N MERIDIAN ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-4645
Country	:	US
Telephone Number	:	317-925-6747
Fax Number	:	317-927-3664

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	MS. CHARLESINE H. FORD
Credential	:	RN-NP
Telephone Number	:	317-925-6747

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	08/22/2020

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Directions to “PLANNED PARENTHOOD ” 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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