Organization Active NPI

Young Men's Christian Association of Southern Arizona

Doing business as YMCA of Southern Arizona

  • Health Educator
  • Tucson, AZ
National Provider Identifier
1023565934
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
YOUNG MEN'S CHRISTIAN ASSOCIATION OF SOUTHERN ARIZONA
Doing business as
YMCA of Southern Arizona
Practice address
60 W Alameda St
Tucson, AZ 85701-1307
Phone
(520) 623-5511
Fax
(520) 624-1518
NPI assigned
Sep 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Authorized official

Name
Mr. Dane G Woll
Title
President/Ceo
Phone
(520) 623-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

60 W Alameda St
Tucson, AZ 85701-1307

Mailing address

PO Box 1111
Tucson, AZ 85702-1111
Phone (520) 623-5511

Other names 1

  • YMCA of Southern Arizona Doing business as

National Provider Directory

National Provider Directory

Locations

60 W Alameda St
Tucson, AZ 85701
Phone (520) 623-5511

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1023565934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1111",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857021111",
            "telephone_number": "520-623-5511",
            "fax_number": "520-624-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W ALAMEDA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857011307",
            "telephone_number": "520-623-5511",
            "fax_number": "520-624-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF SOUTHERN ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "WOLL",
        "authorized_official_first_name": "DANE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "520-623-5511",
        "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": [
        {
            "organization_name": "YMCA of Southern Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.