Organization
PLANNED PARENTHOOD KEYSTONE
Active
Parent organization
PLANNED PARENTHOOD KEYSTONE
Other names
Planned Parenthood Keystone
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLANNED PARENTHOOD KEYSTONE
Authorized official
MR. RYAN ROTH (REVENUE CYCLE DIRECTOR)
(610) 481-0481
Entity
Organization
Contact information
Practice address
101 N MAIN ST, WILKES BARRE, PA 18701-2002
(800) 230-7526
(610) 481-0486
Mailing address
5920 HAMILTON BLVD STE 201, ALLENTOWN, PA 18106-8944
(610) 481-0481
(610) 481-0486
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
PA
261QA0005X
Ambulatory Family Planning Facility
—
PA
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000073270039
—
PA
Enumeration date
05/13/2008
Last updated
03/14/2019
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