Planned Parenthood Of Greater Washington & North Idaho
Family Medicine in Ellensburg, WA. Organization (NPI-2).
NPI number1003061920
StatusActive
Last updated in NPPESApr 8, 2025
Details
- NPI
- 1003061920
- Entity type
- Organization (NPI-2)
- Legal business name
- Planned Parenthood Of Greater Washington & North Idaho
- Organization subpart
- Yes
- Enumeration date
- Nov 19, 2008
- Certification date
- Apr 8, 2025
- Last updated
- Apr 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | WA | Yes |
| 207VG0400X | Obstetrics & Gynecology, Gynecology | – | – | |
| 261QA0005X | Clinic/Center, Ambulatory Family Planning Facility | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- Ppgwni Ellensburg Health Center (Doing Business As)
Practice location
613 N Pine StEllensburg, WA 98926-3121
Phone 866-904-7721 · Fax 509-248-3644
Mailing address
1117 Tieton DrYakima, WA 98902-3835
Phone 866-904-7721 · Fax 509-576-8685
Authorized official
Kim A. Nelson
Vp Of Finance
8669047721
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