Covered Entity Details

FP46408 PLANNED PARENTHOOD - GARY (Terminated)

Main Details

Name

PLANNED PARENTHOOD - GARY

Subdivision Name

PPINK

Type

Family Planning (Title X only)

340B ID

FP46408

Grant Number

FPHPA006453

Additional Details

Current Program Status

Terminated

Registration Date

4/1/2003

Participating Start Date

4/1/2003

Participating Approval Date

5/18/2005

Last Recertification Date

5/14/2019

Termination Date
Termination Reason

10/1/2019
Loss of qualifying grant/support

Contacts

Authorizing Official

Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky
Scott Boyd, Chief Financial Officer
(425) 460-4550

Primary Contact

Planned Parenthood of IN KY
Cheryl Gatzmer, CFO
(317) 637-4378

Addresses

Street Address

1124 BROADWAY
GARY, IN 46407

Billing Address

Planned Parenthood of Indiana and Kentucky
200 S. MERIDIAN ST., SUITE 400
INDIANAPOLIS, IN 46225

Comment	Last Updated On
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4/19/11 PHYS ADDR CHANGE (WAS 3500 VILLAGE COURT) 6/17/2010- UPDATED ADD. (WAS 3500 VILLAGE COURT); 4/8/2010- PER GRANTEE ADD. CHANGE NOT IN EFFECT YET-POSTED PREVIOUS ADD. (4/8/2010- UPDATED ADD. (WAS 3500 VILLAGE COURT, 46408); 2/25/10 UPDATED ENTITY NAME (WAS PLANNED PARENTHOOD OF INDIANA), SUBDIV NAME (WAS GARY CLINIC)AND MEDICAID #(WAS 100326600T); 2/2/05 - NEW NAME, MED#, 5/18/08 - NEW FAX #; 10/2005 ADDED BILLING ADDR	04/19/2011

340B Drug Pricing Program Database