Organization
PLANNED PARENTHOOD OF INDIANA BLOOMINGTON
Active
Parent organization
PLANNED PARENTHOOD OF INDIANA, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLANNED PARENTHOOD OF INDIANA, INC.
Authorized official
MS. SUZANNAH WILSON OVERHOLT J.D. (VICE PRESIDENT, FINANCE & ADMINISTR)
(317) 637-4166
Entity
Organization
Contact information
Practice address
421 S. COLLEGE AVE., BLOOMINGTON, IN 47403-1514
(812) 336-0219
(812) 330-7352
Mailing address
200 S. MERIDIAN ST., SUITE 400, INDIANAPOLIS, IN 46225
(317) 637-4343
(317) 637-4344
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
01041899A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100326600
—
IN
05
—
2002955610
—
IN
Enumeration date
09/07/2012
Last updated
09/07/2012
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