Organization Active NPI

Young Men'S Christian Association of Central Texas

  • Health Educator
  • Waco, TX
National Provider Identifier
1063969079
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
YOUNG MEN'S CHRISTIAN ASSOCIATION OF CENTRAL TEXAS
Practice address
6800 Harvey Dr
Waco, TX 76710-7808
Phone
(254) 776-6612
Fax
(254) 751-0974
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Rodney Martin
Title
Ceo
Phone
(254) 776-6612

Specialties & licenses 1

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

Addresses

Primary practice location

6800 Harvey Dr
Waco, TX 76710-7808

Mailing address

6800 Harvey Dr
Waco, TX 76710-7808
Phone (254) 776-6612

National Provider Directory

National Provider Directory

Locations

6800 Harvey Dr
Waco, TX 76710
Phone (254) 776-6612

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1063969079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 HARVEY DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107808",
            "telephone_number": "254-776-6612",
            "fax_number": "254-751-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 HARVEY DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107808",
            "telephone_number": "254-776-6612",
            "fax_number": "254-751-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF CENTRAL TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-776-6612"
    },
    "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 Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.