Provider Demographics
NPI:1962219675
Name:PLANNED PARENTHOOD OF GREATER OHIO
Entity type:Organization
Organization Name:PLANNED PARENTHOOD OF GREATER OHIO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:CSCP
Authorized Official - Phone:234-542-6044
Mailing Address - Street 1:25350 ROCKSIDE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-7111
Mailing Address - Country:US
Mailing Address - Phone:800-230-7526
Mailing Address - Fax:
Practice Address - Street 1:2121 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-2214
Practice Address - Country:US
Practice Address - Phone:800-230-7526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLANNED PARENTHOOD OF GREATER OHIO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-16
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility