Provider Demographics
NPI:1629057146
Name:PLANNED PARENTHOOD MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA
Entity type:Organization
Organization Name:PLANNED PARENTHOOD MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, REVENUE MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:C
Authorized Official - Last Name:MARTINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-696-5676
Mailing Address - Street 1:PO BOX 64393
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55164-0393
Mailing Address - Country:US
Mailing Address - Phone:651-698-2401
Mailing Address - Fax:651-698-2405
Practice Address - Street 1:671 VANDALIA STREET
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114
Practice Address - Country:US
Practice Address - Phone:651-698-2401
Practice Address - Fax:651-698-2405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-12
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No332900000XSuppliersNon-Pharmacy Dispensing Site
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN27127PLOtherBCBS MN ORGANIZATIONAL #
605OtherHEALTH PARTNERS' ORG #
106470OtherUCARE ORGANIZATIONAL #
MN106470OtherSOUTH COUNTRY
13010035001OtherMHP ORGANIZATIONAL #
SD4999262OtherWELLMARK
MN27127PLOtherBCBS MN ORGANIZATIONAL #
605OtherHEALTH PARTNERS' ORG #
MN27127PLOtherBCBS MN ORGANIZATIONAL #
MNC03210Medicare ID - Type Unspecified