Organization Active NPI

Young Men's Christian Association of Cecil County, Inc.

  • Health Educator
  • Elkton, MD
National Provider Identifier
1114473964
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
YOUNG MEN'S CHRISTIAN ASSOCIATION OF CECIL COUNTY, INC.
Practice address
25 YMCA Blvd
Elkton, MD 21921-5329
Phone
(410) 392-9233
Fax
(410) 398-0013
NPI assigned
Aug 31, 2016
Last updated
Aug 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Mr. William Orville Potts
Title
Board President
Phone
(410) 392-6438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X NU Primary

Addresses

Primary practice location

25 YMCA Blvd
Elkton, MD 21921-5329

Mailing address

25 YMCA Blvd
Elkton, MD 21921-5329
Phone (410) 392-9233

National Provider Directory

National Provider Directory

Locations

25 Ymca Blvd
Elkton, MD 21921
Phone (410) 392-9233

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1114473964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 YMCA BLVD",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215329",
            "telephone_number": "410-392-9233",
            "fax_number": "410-398-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 YMCA BLVD",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215329",
            "telephone_number": "410-392-9233",
            "fax_number": "410-398-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF CECIL COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ORVILLE",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "410-392-6438",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.