MEDICARE: PLANNED PARENTHOOD OF THE HEARTLAND

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	261QA0005X	Ambulatory Family Planning Facility	110063	NE

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	:	1922172907
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANNED PARENTHOOD OF THE HEARTLAND

Provider Business Mailing Address
First Line	:	LOCKBOX 446153
Second Line	:	PO BOX 64071
City	:	ST. PAUL
State	:	MN
Zip	:	55164-0071
Country	:	US
Telephone Number	:	866-290-4325
Fax Number	:	515-280-9525

Provider Business Practice Location Address
First Line	:	3105 N 93RD ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68134-4717
Country	:	US
Telephone Number	:	402-496-6356
Fax Number	:	402-496-0489

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

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	09/23/2025

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Directions to “PLANNED PARENTHOOD OF THE HEARTLAND ” 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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