PLANNED PARENTHOOD OF INDIANA FORT WAYNE
NPI 1104175900
Clinic/Center - Family Planning, Non-Surgical in Fort Wayne, IN

Active since September 07, 2012
3914 W. JEFFERSON BLVD., FORT WAYNE, IN 46804(260) 423-1322(260) 423-2692 Get Directions Write a Review

NPPES record last updated: September 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Planned Parenthood Of Indiana Fort Wayne NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLANNED PARENTHOOD OF INDIANA FORT WAYNE (NPI 1104175900) is a healthcare organization registered as a family planning, non-surgical in Fort Wayne, Indiana and active in the NPI registry since September 2012. The organization lists Suannah Wilson Overholt, Vice President, Finance & Administr, as its authorized official.

NPPES Registry Identity

NPI1104175900
Entity TypeOrganization
Primary Taxonomy261QF0050X
Legal Business NamePLANNED PARENTHOOD OF INDIANA FORT WAYNE
Location Address3914 W. JEFFERSON BLVD.Fort Wayne, IN 46804
Mailing Address200 S. Meridian St., Suite 400Indianapolis, IN 46225 · (317) 637-4343 · Fax (317) 637-4344
Fax(260) 423-2692
Organization SubpartYesParent: Planned Parenthood Of Indiana, Inc.
Authorized OfficialSuannah Wilson OverholtVice President, Finance & Administr · (317) 637-4166
Enumeration DateSeptember 7, 2012
NPI 1104175900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Family Planning, Non-SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QF0050X
License Licensed in IN · 01041899A
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.
3914 W. JEFFERSON BLVD., Fort Wayne, IN 46804

Other Identifiers 4

Medicare UPINC24236IN
Medicare PIN266310IN
Medicaid100326600IN
Medicaid2002955610IN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Planned Parenthood Of Indiana Fort Wayne's NPI number?

The NPI number for Planned Parenthood Of Indiana Fort Wayne is 1104175900. It was assigned to this organization in the NPPES registry on September 7, 2012.

Where is Planned Parenthood Of Indiana Fort Wayne located?

Planned Parenthood Of Indiana Fort Wayne is located at 3914 W. Jefferson Blvd., Fort Wayne, IN 46804. The listed phone number is (260) 423-1322.

What is Planned Parenthood Of Indiana Fort Wayne's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Family Planning, Non-Surgical, with taxonomy code 261QF0050X.

When was this NPI record last updated?

The NPPES record for Planned Parenthood Of Indiana Fort Wayne was last updated on September 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.