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Organization

PLANNED PARENTHOOD OF INDIANA ELKHART

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
505 S. THIRD ST.,, SUITE 160, ELKHART, IN 46516
(574) 294-7561
(574) 293-5479
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
09/06/2012
Last updated
09/06/2012
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