Provider Demographics
NPI:1730336850
Name:FAMILY PLANNING SERVICES OF MERCER COUNTY
Entity type:Organization
Organization Name:FAMILY PLANNING SERVICES OF MERCER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BURSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-981-1671
Mailing Address - Street 1:87 STAMBAUGH AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-2775
Mailing Address - Country:US
Mailing Address - Phone:724-981-1671
Mailing Address - Fax:724-981-9444
Practice Address - Street 1:87 STAMBAUGH AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-2775
Practice Address - Country:US
Practice Address - Phone:724-981-1671
Practice Address - Fax:724-981-9444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD037936E261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007754500004Medicaid
PAMD037936EOtherMEDICAL LICENSE