Organization Active NPI

Young Men's Christian Association of Youngstown Oh

  • Health Educator
  • Youngstown, OH
National Provider Identifier
1205378734
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
YOUNG MEN'S CHRISTIAN ASSOCIATION OF YOUNGSTOWN OH
Practice address
45 McClurg Rd
Youngstown, OH 44512
Phone
(330) 480-5656
Fax
(330) 259-9627
NPI assigned
Nov 15, 2016
Last updated
Jun 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Authorized official

Name
Thomas M Gacse
Title
Ceo
Phone
(330) 742-4799

Specialties & licenses 1

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

Addresses

Primary practice location

45 McClurg Rd
Youngstown, OH 44512

Mailing address

17 N Champion St
P.O. Box 1287
Youngstown, OH 44503-1602
Phone (330) 744-8411

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1205378734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N CHAMPION ST",
            "address_2": "P.O. BOX 1287",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445031602",
            "telephone_number": "330-744-8411",
            "fax_number": "330-746-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MCCLURG RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44512",
            "telephone_number": "330-480-5656",
            "fax_number": "330-259-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF YOUNGSTOWN OH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "GACSE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-742-4799"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.