Provider Demographics
NPI:1679614838
Name:PLANNED PARENTHOOD GREAT PLAINS
Entity type:Organization
Organization Name:PLANNED PARENTHOOD GREAT PLAINS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:SU
Authorized Official - Middle Name:
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-312-5100
Mailing Address - Street 1:4401 W 109TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1303
Mailing Address - Country:US
Mailing Address - Phone:913-312-5100
Mailing Address - Fax:913-312-3171
Practice Address - Street 1:1001 EMANUEL CLEAVER II BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110-1687
Practice Address - Country:US
Practice Address - Phone:816-756-2277
Practice Address - Fax:816-756-0611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO523566131Medicaid
KS100368460AMedicaid
MO427865621Medicaid
MO523566156Medicaid
MO523566107Medicaid
MO06215014OtherBCBS OF KC GROUP ID #
KS200329770AMedicaid
KS100250590BMedicaid
KS200302840AMedicaid
MO426835401Medicaid
MO523566123Medicaid
KS100281810CMedicaid
MO523566115Medicaid
MO09841038OtherBCBS KC INDIVIDUAL #
KS100216210AMedicaid
KS110035OtherBCBS OF KS GROUP #
MO423542133Medicaid
MO528534407Medicaid
MO528534506Medicaid