Organization Active NPI

Valley of the Sun Young Men'S Christian Association

  • Health Educator
  • Phoenix, AZ
National Provider Identifier
1043768476
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
VALLEY OF THE SUN YOUNG MEN'S CHRISTIAN ASSOCIATION
Practice address
350 N 1St Ave
Phoenix, AZ 85003-1513
Phone
(602) 257-5120
Fax
(602) 257-5136
NPI assigned
Sep 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Mr. Bryan Madden
Title
President and Ceo
Phone
(602) 257-5133

Specialties & licenses 1

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

Addresses

Primary practice location

350 N 1St Ave
Phoenix, AZ 85003-1513

Mailing address

350 N 1St Ave
Phoenix, AZ 85003-1513
Phone (602) 257-5120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1043768476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N 1ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031513",
            "telephone_number": "602-257-5120",
            "fax_number": "602-257-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N 1ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031513",
            "telephone_number": "602-257-5120",
            "fax_number": "602-257-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OF THE SUN YOUNG MEN'S CHRISTIAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "602-257-5133",
        "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 Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.