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
620 N 8TH ST, PLANNED PARENTHOOD OF THE HEARTLAND BURLINGTON CLINIC, BURLINGTON, IA 52601-5037
(319) 753-2281
(319) 753-0181
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
332900000X
Non-Pharmacy Dispensing Site
—
—
363LW0102X
Women's Health Nurse Practitioner
Primary
33019
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128652
—
IA
01
—
07788
WELLMARK
IA
01
—
C37752
EBS
IA
05
—
GROUP0057570
—
IA
Enumeration date
01/18/2006
Last updated
08/15/2024
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