The Sheridan County Young Men'S Christian Association

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

THE SHERIDAN COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION

Practice address

417 N Jefferson St
Sheridan, WY 82801-3827

Phone

(307) 674-7488

Fax

(307) 672-7263

NPI assigned

Sep 22, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James J McGinnis

Title

Executive Director

Phone

(307) 674-7488

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1013466739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N JEFFERSON ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013827",
            "telephone_number": "307-674-7488",
            "fax_number": "307-672-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N JEFFERSON ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013827",
            "telephone_number": "307-674-7488",
            "fax_number": "307-672-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHERIDAN COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "MCGINNIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-674-7488",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Educator in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Health Educator in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.