Organization Active NPI

Planned Parenthood of the Heartland

  • Ambulatory Family Planning Facility
  • Council Bluffs, IA
National Provider Identifier
1235218819
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
License
F-091658 Issued in IA
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

Updated by the provider on Aug 15, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0131656MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311001463 IA Part B Supplier - Clinic/Group Practice 6507755188 Receives reassigned benefits from 25 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Des Moines, IA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.