Greater Burlington Young Men's Christian Association, Inc.

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

GREATER BURLINGTON YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.

Practice address

266 College St
Burlington, VT 05401-8318

Phone

(802) 652-8134

Fax

(802) 660-8689

NPI assigned

Sep 7, 2016

Last updated

Sep 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kyle Dobson

Title

President & Chief Executive Officer

Phone

(802) 652-8133

Specialties & licenses 1

Addresses

Locations

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": "1104373125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 COLLEGE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018318",
            "telephone_number": "802-652-8134",
            "fax_number": "802-660-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 COLLEGE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018318",
            "telephone_number": "802-652-8134",
            "fax_number": "802-660-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BURLINGTON YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "DOBSON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "802-652-8133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.