PLANNED PARENTHOOD OF INDIANA BLOOMINGTON (NPI# 1285983080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285983080 |
| Entity Type | Organization |
| Organization Name | PLANNED PARENTHOOD OF INDIANA BLOOMINGTON |
| Practice Address |
421 S. College Ave. Bloomington IN 47403-1514 |
| Mailing Address |
200 S. Meridian St. Suite 400 Indianapolis IN 46225 |
| Practice Telephone | 8123360219 |
| Practice Fax Number | 8123307352 |
| Mailing Telephone | 3176374343 |
| Mailing Fax Number | 3176374344 |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |
| Authorized Official Name | MS. SUZANNAH WILSON OVERHOLT (VICE PRESIDENT, FINANCE & ADMINISTR) |
| Authorized Official Telephone | 3176374166 |
| Authorized Official Credential | J.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | PLANNED PARENTHOOD OF INDIANA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
01041899A | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100326600 | 05 | |
| IN | 2002955610 | 05 |
| Street Address |
421 S. COLLEGE AVE. |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699193904 | New Hope Services, Inc. | Clinic/Center | 1302 Wall St, Jeffersonville, IN 47130-3885 | 2014-04-03 |
| 1144569070 | Indiana Family Health Council, Inc. | Clinic/Center | 151 N Delaware St Ste 520, Indianapolis, IN 46204-2535 | 2013-02-13 |
| 1477802270 | Planned Parenthood of Indiana Gary | Clinic/Center | 1124 Broadway, Gary, IN 46407 | 2012-09-07 |
| 1649529447 | Planned Parenthood of Indiana Bedford | Clinic/Center | 717 Lincoln Ave, #g, Bedford, IN 47421-2145 | 2012-09-07 |
| 1124377924 | Planned Parenthood of Indiana Georgetown | Clinic/Center | 8590 Georgetown Rd., Indianapolis, IN 46268 | 2012-09-07 |
| 1316296114 | Planned Parenthood of Indiana Hammond | Clinic/Center | 7131 Indianapolis Blvd., Hammond, IN 46324 | 2012-09-07 |
| 1811246614 | Planned Parenthood of Indiana Columbus | Clinic/Center | 3200 Sycamore Court, Suite 2c, Columbus, IN 47203-1517 | 2012-09-07 |
| 1851640742 | Planned Parenthood of Indiana Madison | Clinic/Center | 200 Chifty Dr., Unit H, Madison, IN 47250-1658 | 2012-09-06 |
| 1881943769 | Planned Parenthood of Indiana Mishawaka | Clinic/Center | 3005 Grape Rd., #b, Mishawaka, IN 46545-2709 | 2012-09-06 |
| 1639428535 | Planned Parenthood of Indiana Evansville | Clinic/Center | 125 N. Weinbach, Suite 120, Evansville, IN 47711 | 2012-09-06 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
Please comment or provide details below to improve the information on PLANNED PARENTHOOD OF INDIANA BLOOMINGTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.