Covered Entity Details

FP149019 Planned Parenthood of Greater New York (Active)

Main Details

Name

Planned Parenthood of Greater New York

Subdivision Name

ELMIRA CENTER

Type

Family Planning (Title X only)

340B ID

FP149019

Grant Number

FPHPA006526

Additional Details

Current Program Status

Active

Registration Date

7/13/2022

Participating Start Date

10/1/2022

Participating Approval Date

8/2/2022

Last Recertification Date

5/10/2024

Contacts

Authorizing Official

Planned Parenthood of Greater New York
Wendy Elizabeth Stark, President and CEO
(212) 274-7358

Primary Contact

Planned Parenthood of Greater New York
David Hernandez, Director, Materials Management
(212) 274-7359

Addresses

Street Address

755 EAST CHURCH STREET
ELMIRA, NY 14901

Billing Address

Planned Parenthood of Greater New York
26 Bleecker Street
New York, NY 10012

Comment	Last Updated On
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Participating from effective date: (1/1/1998) until terminated effective date: (10/1/2019), reinstatement effective date: (10/1/2022)	07/21/2022
1/11/12-ADDED MEDICAID AND NPI NUMBERS; 3/10/10 UPDATED BILL TO (WAS 314 W STATE ST, ITHACA, NY 14850) AND SHIP TO (WAS 135 WALNUT ST, CORNING NY 14830); 9/16/05 UPDATED SHIP TO (WAS 301 S MAIN ST, HORSEHEADS); 11/18/04 ADDED SHIP TO AND BILL TO	01/11/2012
3/10/10 UPDATED BILL TO (WAS 314 W STATE ST, ITHACA, NY 14850) AND SHIP TO (WAS 135 WALNUT ST, CORNING NY 14830); 9/16/05 UPDATED SHIP TO (WAS 301 S MAIN ST, HORSEHEADS); 11/18/04 ADDED SHIP TO AND BILL TO	03/10/2010

340B Drug Pricing Program Database