Provider Demographics
NPI:1063597110
Name:PLANNED PARENTHOOD CENTERS OF WEST MI
Entity type:Organization
Organization Name:PLANNED PARENTHOOD CENTERS OF WEST MI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF MEDICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SUZY
Authorized Official - Middle Name:
Authorized Official - Last Name:REITER
Authorized Official - Suffix:
Authorized Official - Credentials:RNC, NP
Authorized Official - Phone:616-774-7005
Mailing Address - Street 1:1049 E NEWELL ST
Mailing Address - Street 2:HEALTH SERVICES BUILDING
Mailing Address - City:WHITE CLOUD
Mailing Address - State:MI
Mailing Address - Zip Code:49349-8795
Mailing Address - Country:US
Mailing Address - Phone:231-689-7310
Mailing Address - Fax:231-686-6424
Practice Address - Street 1:1049 E NEWELL ST
Practice Address - Street 2:HEALTH SERVICES BUILDING
Practice Address - City:WHITE CLOUD
Practice Address - State:MI
Practice Address - Zip Code:49349-8795
Practice Address - Country:US
Practice Address - Phone:231-689-7310
Practice Address - Fax:231-686-6424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility