Active NPI
Planned Parenthood Great Rivers-Missouri
- Non-Surgical Family Planning Clinic/Center
- Saint Peters, MO
National Provider Identifier
1790106102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Surgical Family Planning Clinic/Center
- Legal business name
- PLANNED PARENTHOOD GREAT RIVERS-MISSOURI
- Practice address
- 208 Mid Rivers Ctr
Saint Peters, MO 63376-4325 - Phone
- (636) 279-3339
- Fax
- (636) 279-2236
- NPI assigned
- Jan 2, 2014
- Last updated
- Aug 15, 2024
- 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
- Richard Muniz
- Title
- General Counsel
- Phone
- (314) 828-1804
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | Primary |
Addresses
Primary practice location
208 Mid Rivers Ctr
Saint Peters, MO 63376-4325
Mailing address
4251 Forest Park Ave
Saint Louis, MO 63108-2810
Phone (314) 531-7526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110627000063 | MO | Part B Supplier - Clinic/Group Practice | 6608054473 |
Receives reassigned benefits from 11 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Saint Louis, MO |
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
- Saint Louis, MO
- NPI 1205898574
O20110627000063
-
- Non-Surgical Family Planning Clinic/Center
- Springfield, MO
- NPI 1447671847
O20110627000063
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723680000000",
"number": "1790106102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4251 FOREST PARK AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082810",
"telephone_number": "314-531-7526",
"fax_number": "314-531-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 MID RIVERS CTR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633764325",
"telephone_number": "636-279-3339",
"fax_number": "636-279-2236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLANNED PARENTHOOD GREAT RIVERS-MISSOURI",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-02",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A",
"authorized_official_last_name": "MUNIZ",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "GENERAL COUNSEL",
"authorized_official_telephone_number": "314-828-1804"
},
"taxonomies": [
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
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.