| Organization Name: | PLANNED PARENTHOOD OF INDIANA MICHIGAN CITY |
| NPI Number: | 1053660936 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUZANNAH WILSON OVERHOLT (VICE PRESIDENT, FINANCE & ADMINISTR) |
| Mailing Address: | 324 Dunes Plaza Michigan City |
| State: | IN US |
| Postal Code: | 46360 |
| Phone Number: | 2198727215 |
| Fax Number: | 2198727216 |
| NPI Enumeration Date: | 09/06/2012 |
| NPI Last Update Date: | 09/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0050X |
| License Number: | 01041899A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Family Planning, Non-Surgical |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |