Active NPI
Young Men's Christian Association of Grand Forks
- Athletic Trainer
- Grand Forks, ND
National Provider Identifier
1043851686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Legal business name
- YOUNG MEN'S CHRISTIAN ASSOCIATION OF GRAND FORKS
- Practice address
- 215 N 7TH St
Grand Forks, ND 58203-3668 - Phone
- (701) 775-2586
- Fax
- (701) 775-9611
- NPI assigned
- Oct 4, 2019
- 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
- Adam Sorum
- Title
- Healthy Living Director
- Phone
- (701) 775-2586
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
215 N 7TH St
Grand Forks, ND 58203-3668
Mailing address
215 N 7TH St
Grand Forks, ND 58203-3668
Phone (701) 775-2586
Other names 1
- YMCA Family Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Athletic Trainer
- Grand Forks, ND
- NPI 1982276234
-
- Athletic Trainer
- Grand Forks, ND
- NPI 1609447424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626307200000",
"number": "1043851686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 N 7TH ST",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582033668",
"telephone_number": "701-775-2586",
"fax_number": "701-775-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N 7TH ST",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582033668",
"telephone_number": "701-775-2586",
"fax_number": "701-775-9611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF GRAND FORKS",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-04",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A",
"authorized_official_last_name": "SORUM",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "HEALTHY LIVING DIRECTOR",
"authorized_official_telephone_number": "701-775-2586"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "YMCA Family Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.