Organization
PLANNED PARENTHOOD OF INDIANA AVON
Active
Organization
PLANNED PARENTHOOD OF INDIANA AVON
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
SUZANNAH WILSON OVERHOLT (VP, FINANCE & ADMINISTRATION)
(317) 637-4166
Entity
Organization
Contact information
Practice address
8102 KINGSTON ST., SUITE 100, AVON, IN 46123-6909
(317) 272-2042
(317) 272-0601
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
—
200295610
—
IN
Enumeration date
08/08/2012
Last updated
08/08/2012
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