Active NPI
Young Men'S Christian Association of Lebanon, Pennsylvania
- Health Educator
- Lebanon, PA
National Provider Identifier
1043760994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Legal business name
- YOUNG MEN'S CHRISTIAN ASSOCIATION OF LEBANON, PENNSYLVANIA
- Practice address
- 201 N 7TH St
Lebanon, PA 17046-5007 - Phone
- (717) 273-2691
- Fax
- (717) 376-0345
- NPI assigned
- Oct 4, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Phillip Tipton
- Title
- Chief Executive Officer
- Phone
- (717) 376-1380
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
201 N 7TH St
Lebanon, PA 17046-5007
Mailing address
201 N 7TH St
Lebanon, PA 17046-5007
Phone (717) 273-2691
National Provider Directory
National Provider DirectoryLocations
201 N 7th St
Lebanon, PA 17046
Phone (717) 273-2691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475539200000",
"number": "1043760994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N 7TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170465007",
"telephone_number": "717-273-2691",
"fax_number": "717-376-0345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N 7TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170465007",
"telephone_number": "717-273-2691",
"fax_number": "717-376-0345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF LEBANON, PENNSYLVANIA",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-04",
"last_updated": "2016-10-04",
"status": "A",
"authorized_official_last_name": "TIPTON",
"authorized_official_first_name": "PHILLIP",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "717-376-1380",
"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": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.