Organization
PLANNED PARENTHOOD OF THE HEARTLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY DRAGER (CFO)
(651) 698-2406
Entity
Organization
Contact information
Practice address
2201 AVE H, PLANNED PARENTHOOD OF THE HEARTLAND FORT MADISON CLINIC, FORT MADISON, IA 52627-4048
(319) 372-1130
(319) 372-6040
Mailing address
671 VANDALIA ST, ATTN: PPH, ST. PAUL, MN 55114-1312
(877) 811-7526
(515) 280-9525
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
33019
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GROUP0057570
—
IA
Enumeration date
08/10/2011
Last updated
08/15/2024
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