Organization
PLANNED PARENTHOOD OF ALASKA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLOVER SIMON (CEO)
(907) 770-9705
Entity
Organization
Contact information
Practice address
4001 LAKE OTIS PKWY, ANCHORAGE, AK 99508-5211
(907) 565-7526
Mailing address
1867 AIRPORT WAY, SUITE 160B, FAIRBANKS, AK 99701-4007
(907) 455-7285
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FP7033
—
AK
05
—
MD41072
—
AK
Enumeration date
03/13/2007
Last updated
08/22/2020
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