| Planned Parenthood Of The Heartland, Inc | |
|
1007 S Peoria Ave Tulsa OK 74120-4495 | |
| (918) 587-1101 | |
| (918) 592-7610 |
| Full Name | Planned Parenthood Of The Heartland, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1007 S Peoria Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Victoria Parks (DIRECTOR OF HEALTH SERVICES OPS) |
| Authorized Official Contact | 9185874621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Planned Parenthood Of The Heartland, Inc 4401 W 109th St Ste 200 Leawood KS 66211-1303 Ph: (918) 587-1101 | Planned Parenthood Of The Heartland, Inc 1007 S Peoria Ave Tulsa OK 74120-4495 Ph: (918) 587-1101 |
| NPI Number | 1831185412 |
|---|---|
| Provider Enumeration Date | 09/20/2005 |
| Last Update Date | 06/01/2020 |
| Medicare PECOS PAC ID | 2163453291 |
|---|---|
| Medicare Enrollment ID | O20050829000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831185412 | NPI | - | NPPES |
| 100728930C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Melissa A Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689842361 PECOS PAC ID: 3870731359 Enrollment ID: I20130523000615 |
| Provider Name | Joshua Yap |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114305828 PECOS PAC ID: 5890110944 Enrollment ID: I20200806000404 |
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