NPIMap

Organization Active NPI

Christian County Young Men's Christian Association Inc

  • Health Educator
  • Taylorville, IL
National Provider Identifier
1043729841
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
CHRISTIAN COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION INC
Practice address
900 McAdam Dr
Taylorville, IL 62568
Phone
(217) 287-7271
Fax
(217) 824-2348
NPI assigned
Sep 25, 2017
Last updated
Sep 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Authorized official

Name
Mr. Chris Weittenhiller
Title
Executive Director
Phone
(217) 287-7271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

900 McAdam Dr
Taylorville, IL 62568

Mailing address

900 McAdam Dr
Taylorville, IL 62568
Phone (217) 287-7271

National Provider Directory

National Provider Directory

Locations

900 McAdam Dr
Taylorville, IL 62568
Phone (217) 287-7271

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1043729841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MCADAM DR",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "62568",
            "telephone_number": "217-287-7271",
            "fax_number": "217-824-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MCADAM DR",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "62568",
            "telephone_number": "217-287-7271",
            "fax_number": "217-824-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "WEITTENHILLER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-287-7271",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.