Provider Demographics
NPI:1063533370
Name:FAMILY PLANNING SERVICES OF MERCER COUNTY
Entity type:Organization
Organization Name:FAMILY PLANNING SERVICES OF MERCER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BURSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-981-1671
Mailing Address - Street 1:74 SHENANGO ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-2019
Mailing Address - Country:US
Mailing Address - Phone:724-588-2272
Mailing Address - Fax:724-588-4187
Practice Address - Street 1:74 SHENANGO ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16125-2019
Practice Address - Country:US
Practice Address - Phone:724-588-2272
Practice Address - Fax:724-588-4187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD037587E261QA0005X, 261QF0050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
Not Answered261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007754500002Medicaid