PLANNED PARENTHOOD SHASTA PACIFIC


Address: 1437 Olympic Drive, Cleaklake, CA 95422
Phone: 7079952261

PLANNED PARENTHOOD SHASTA PACIFIC (NPI# 1699060830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699060830
Entity Type Organization
Organization Name PLANNED PARENTHOOD SHASTA PACIFIC
Practice Address 1437 Olympic Drive
Cleaklake
CA 95422
Practice Telephone 7079952261
Practice Fax Number 7079952816
Enumeration Date 2011-06-16
Last Update Date 2011-06-16
Authorized Official Name ERIN HARR YEE (VICE PRESIDENT CLIENT SERVICES)
Authorized Official Telephone 9256760505
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0050X Clinic/Center
Specialization: Family Planning, Non-Surgical
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1306274972 Planned Parenthood Shasta Pacific Registered Nurse 2185 Pacheco St, Concord, CA 94520-2309 2013-10-17
1730474909 Planned Parenthood Shasta Pacific Clinic/Center 2185 Pacheco St, Concord, CA 94520-2309 2011-06-15
1962796268 Planned Parenthood Shasta Pacific Clinic/Center 1165 S Dora St, Ukiah, CA 95482-8325 2011-06-03

Office Location

Street Address 1437 OLYMPIC DRIVE
City CLEAKLAKE
State CA
Zip Code 95422

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1366710279 Nancy Bylund Licensed Psychiatric Technician 7000b South Center Drive, Clearlake, CA 95422 2011-12-06
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1518197607 Vishal V Desai Pharmacist 15025, Olympic Drive, Clearlake, CA 95422 2009-07-23
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Taxonomy Information

Taxonomy Code 261QF0050X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Family Planning, Non-Surgical

Taxonomy Definition

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]

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1922528694 Asian and Pacific Islander Wellness Center, Inc. Clinic/Center 1800 Market St Ste 401, San Francisco, CA 94102-6227 2017-06-23
1972908044 Community Support Clinic, Inc. Clinic/Center 506 S San Pedro St, Suite A, Los Angeles, CA 90013-2102 2014-10-30
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Competitor

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City CLEAKLAKE
Zip Code 95422

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Dataset Information

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.

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