NPIMap

Organization Active NPI

The Young Men'S Christian Association of Carbondale

  • Health Educator
  • Carbondale, PA
National Provider Identifier
1205345014
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF CARBONDALE
Practice address
82 N Main Street
Carbondale, PA 18407
Phone
(570) 282-2210
Fax
(570) 282-3579
NPI assigned
Sep 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Authorized official

Name
Steve Durkin
Title
Chief Executive Officer
Phone
(570) 282-2210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

82 N Main Street
Carbondale, PA 18407

Mailing address

82 N Main Street
Carbondale, PA 18407
Phone (570) 282-2210

National Provider Directory

National Provider Directory

Locations

82 N Main St
Carbondale, PA 18407
Phone (570) 282-0200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1205345014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 N MAIN STREET",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "18407",
            "telephone_number": "570-282-2210",
            "fax_number": "570-282-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 N MAIN STREET",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "18407",
            "telephone_number": "570-282-2210",
            "fax_number": "570-282-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF CARBONDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "DURKIN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "570-282-2210"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.