NPIMap

Organization Active NPI

Planned Parenthood of Arkansas and Eastern Oklahoma, Inc.

  • Clinical Medical Laboratory
  • Fayetteville, AR
National Provider Identifier
1417246182
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PLANNED PARENTHOOD OF ARKANSAS AND EASTERN OKLAHOMA, INC.
Practice address
125 E Township St
Suite 1
Fayetteville, AR 72703-2817
Phone
(479) 443-7971
Fax
(479) 443-5761
NPI assigned
Apr 4, 2011
Last updated
Aug 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Authorized official

Name
Victoria Parks
Title
Director of Health Services Ops
Phone
(918) 587-4621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

125 E Township St
Suite 1
Fayetteville, AR 72703-2817

Mailing address

4401 W 109TH St Ste 200
Leawood, KS 66211-1303
Phone (918) 587-1101

Other identifiers 1

IdentifierTypeStateIssuer
182598709MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of Arkansas and Eastern Oklahoma Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1417246182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 W 109TH ST STE 200",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111303",
            "telephone_number": "918-587-1101",
            "fax_number": "918-592-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E TOWNSHIP ST",
            "address_2": "SUITE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032817",
            "telephone_number": "479-443-7971",
            "fax_number": "479-443-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF ARKANSAS AND EASTERN OKLAHOMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES OPS",
        "authorized_official_telephone_number": "918-587-4621"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182598709",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.