Active NPI
Planned Parenthood of the Heartland
- Ambulatory Family Planning Facility
- Council Bluffs, IA
National Provider Identifier
1235218819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Family Planning Facility
- License
- F-091658
- Legal business name
- PLANNED PARENTHOOD OF THE HEARTLAND
- Practice address
- 1604 2ND Avenue
Council Bluffs, IA 51501-3801 - Phone
- (712) 332-7985
- Fax
- (712) 322-7985
- NPI assigned
- Nov 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Drager
- Title
- Cfo
- Phone
- (651) 698-2406
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Family Planning Facility | 261QA0005X | F-091658 | IA | Primary |
Addresses
Primary practice location
1604 2ND Avenue
Council Bluffs, IA 51501-3801
Mailing address
671 Vandalia St
Attn: PPH
St. Paul, MN 55114-1312
Phone (866) 290-4325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0131656 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Non-Surgical Family Planning Clinic/Center
- Iowa City, IA
- NPI 1144260027
O20040311001463
-
- Family Medicine Physician
- Des Moines, IA
- NPI 1629025101
O20040311001463
National Provider Directory
National Provider DirectoryLocations
1604 2nd Ave
Council Bluffs, IA 51501
Phone (712) 322-6650
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Des Moines, IA
- NPI 1770558025
-
- Women's Health Nurse Practitioner
- Lincoln, NE
- NPI 1710251046
-
- Nurse Practitioner
- Elkhorn, NE
- NPI 1861825135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723680000000",
"number": "1235218819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 VANDALIA ST",
"address_2": "ATTN: PPH",
"city": "ST. PAUL",
"state": "MN",
"postal_code": "551141312",
"telephone_number": "866-290-4325",
"fax_number": "515-280-9525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 2ND AVENUE",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515013801",
"telephone_number": "712-332-7985",
"fax_number": "712-322-7985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLANNED PARENTHOOD OF THE HEARTLAND",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2024-08-15",
"certification_date": "2024-08-02",
"status": "A",
"authorized_official_last_name": "DRAGER",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "651-698-2406"
},
"taxonomies": [
{
"code": "261QA0005X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Family Planning Facility",
"state": "IA",
"license": "F-091658",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0131656",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.