Active NPI
Young Men'S Christian Association of Albert Lea, Minnesota, Inc.
- Health Educator
- Albert Lea, MN
National Provider Identifier
1114476033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Legal business name
- YOUNG MEN'S CHRISTIAN ASSOCIATION OF ALBERT LEA, MINNESOTA, INC.
- Doing business as
- Albert Lea Family Y
- Practice address
- 404 W Fountain St
Albert Lea, MN 56007-2437 - Phone
- (507) 373-2384
- NPI assigned
- Oct 4, 2016
- 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
- Dennis Dieser
- Title
- Executive Director
- Phone
- (507) 373-8228
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
404 W Fountain St
Albert Lea, MN 56007-2437
Mailing address
2021 W Main St
Albert Lea, MN 56007-4335
Phone (507) 373-8228
Other names 1
- Albert Lea Family Y
National Provider Directory
National Provider DirectoryLocations
2021 W Main St
Albert Lea, MN 56007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475539200000",
"number": "1114476033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 W MAIN ST",
"city": "ALBERT LEA",
"state": "MN",
"postal_code": "560074335",
"telephone_number": "507-373-8228",
"fax_number": "507-373-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 W FOUNTAIN ST",
"city": "ALBERT LEA",
"state": "MN",
"postal_code": "560072437",
"telephone_number": "507-373-2384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF ALBERT LEA, MINNESOTA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-04",
"last_updated": "2016-10-04",
"status": "A",
"authorized_official_last_name": "DIESER",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "507-373-8228"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Albert Lea Family Y",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albert Lea, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.