OrganizationActive
Planned Parenthood of Indiana Fort Wayne
NPI 1104175900 · Non-Surgical Family Planning Clinic/Center · Fort Wayne, IN
Provider details
- NPI number
- 1104175900
- Entity type
- Organization
- Primary specialty
- Non-Surgical Family Planning Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Planned Parenthood of Indiana, Inc.
- Organization subpart
- Yes
- Authorized official
- Suannah Overholt, Vice President, Finance & Administr(317) 637-4166
- License
- 01041899A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3914 W. Jefferson Blvd.
Fort Wayne, IN 46804
Phone: (260) 423-1322
Fax: (260) 423-2692
Approximate (ZIP-level) locationGet directions
Mailing address
200 S. Meridian St.
Indianapolis, IN 46225
Registry dates
- Enumerated
- 2012-09-07
- Last updated
- 2012-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.