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PLANNED PARENTHOOD SOUTH ATLANTIC NPI 1124165451


NPI Information

NPI: 1124165451
Provider Name: PLANNED PARENTHOOD SOUTH ATLANTIC
Classification: Clinic/Center - 261QA0005X
Entity Type: Organization

Specialization: Ambulatory Family Planning Facility

CLIA Number: 34D0961163

Address:
1925 TRADD CT
WILMINGTON, NC
ZIP 28401
Phone: (910) 762-5566
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PLANNED PARENTHOOD SOUTH ATLANTIC is an ambulatory family planning facility clinic center in Wilmington, NC. The provider is an abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. PLANNED PARENTHOOD SOUTH ATLANTIC NPI is 1124165451. The provider is registered as an organization entity type.

The provider's business location address is:

1925 TRADD CT
WILMINGTON, NC
ZIP 28401-638
Phone: (910) 762-5566
Fax: (919) 762-4088

The provider's authorized official is Tearra Alexandria Raynor .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (919) 833-7526.

The CLIA number assigned to this NPI record is 34D0961163 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 3/2/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0005XClinic/CenterAmbulatory Family Planning FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1790211AMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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