Young Men's Christian Association of Northwest North Carolina

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

YOUNG MEN'S CHRISTIAN ASSOCIATION OF NORTHWEST NORTH CAROLINA

Practice address

1150 S Peace Haven Rd
Clemmons, NC 27012-8909

Phone

(336) 712-2000

Fax

(336) 712-2005

NPI assigned

Sep 9, 2016

Last updated

Sep 9, 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. Curt Hazelbaker

Title

President/Ceo

Phone

(336) 777-6239

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1194272922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST",
            "address_2": "SUITE 1900",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013836",
            "telephone_number": "336-777-8055",
            "fax_number": "336-777-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S PEACE HAVEN RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128909",
            "telephone_number": "336-712-2000",
            "fax_number": "336-712-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF NORTHWEST NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "HAZELBAKER",
        "authorized_official_first_name": "CURT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "336-777-6239",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Howell Wren, CNM
• Katricsa Denise Wright, MA
• Taylor Wright, BCBA
• Sandra Wyatt
• William Tyler Wynne, DDS
• Susan Upton Youngman, M.A.
• Richard Baxter Yow, M.D.
• Sophia Yuan, M.D.
• Kenneth W Zamkoff, M.D.
• Kimberly Dawn Zander, MD

• Health Educator in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Health Educator in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.