NPIMap

Organization Active NPI

Planned Parenthood of West & Northern Mi

  • Ambulatory Family Planning Facility
  • Muskegon, MI
National Provider Identifier
1104901248
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
Legal business name
PLANNED PARENTHOOD OF WEST & NORTHERN MI
Practice address
209 E Apple Ave
Muskegon Public Health Building
Muskegon, MI 49442
Phone
(231) 724-4415
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Diane Brady
Title
Coo
Phone
(616) 774-7005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X Primary

Addresses

Primary practice location

209 E Apple Ave
Muskegon Public Health Building
Muskegon, MI 49442

Mailing address

1205 Peck St
Muskegon, MI 49441-2121
Phone (231) 722-2928

Other identifiers 1

IdentifierTypeStateIssuer
232797098MedicaidMI

Other names 1

  • Muskegon Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of West Northern Michigan Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

209 E Apple Ave
Muskegon, MI 49442
Phone (231) 724-4415

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1104901248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 PECK ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412121",
            "telephone_number": "231-722-2928",
            "fax_number": "231-722-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E APPLE AVE",
            "address_2": "MUSKEGON PUBLIC HEALTH BUILDING",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49442",
            "telephone_number": "231-724-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF WEST & NORTHERN MI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "616-774-7005"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232797098",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muskegon Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.