Organization Active NPI

The Young Men'S Christian Association of Marion County, Ohio

  • Health Educator
  • Marion, OH
National Provider Identifier
1104373331
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF MARION COUNTY, OHIO
Practice address
645 Barks Rd E
Marion, OH 43302-6517
Phone
(740) 725-9622
Fax
(740) 389-1287
NPI assigned
Sep 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Theresa Lubke
Title
Executive Director/Ceo
Phone
(740) 725-9622

Specialties & licenses 1

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

Addresses

Primary practice location

645 Barks Rd E
Marion, OH 43302-6517

Mailing address

645 Barks Rd E
Marion, OH 43302-6517
Phone (740) 725-9622

Other names 1

  • Marion Family YMCA Doing business as

National Provider Directory

National Provider Directory

Locations

645 Barks Rd E
Marion, OH 43302
Phone (740) 383-8057

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1104373331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 BARKS RD E",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026517",
            "telephone_number": "740-725-9622",
            "fax_number": "740-389-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 BARKS RD E",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026517",
            "telephone_number": "740-725-9622",
            "fax_number": "740-389-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF MARION COUNTY, OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "LUBKE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "740-725-9622"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion Family YMCA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.